# KINGDOM ADULT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003431214
- **Authorized official:** MARAH ISMAIEL (OWNER & EXECUTIVE DIRECTOR)
- **Authorized official phone:** (720) 572-7974

## Contact information

- **Practice address:** 1770 S BUCKLEY RD UNIT 7, AURORA, CO 80017-5640
- **Practice address phone:** (720) 572-7974
- **Mailing address:** 1770 S BUCKLEY RD UNIT 6, AURORA, CO 80017-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | Yes |
| 372600000X | Adult Companion | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2020
- **Last updated:** 01/14/2021