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Organization
KINGDOM ADULT CARE LLC
Active
Organization
KINGDOM ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAH ISMAIEL (OWNER & EXECUTIVE DIRECTOR)
(720) 572-7974
Entity
Organization
Contact information
Practice address
1770 S BUCKLEY RD UNIT 7, AURORA, CO 80017-5640
(720) 572-7974
Mailing address
1770 S BUCKLEY RD UNIT 6, AURORA, CO 80017-5640
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
01/14/2021
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