| NPI | 1972346005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSAAB DAWLA Administrator 720-324-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |