| NPI | 1992070080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARIJANTO SUGIARSO President 303-353-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23h948) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |