Organization
LIBERTY RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANAIT REDAI (OWNER)
(720) 789-1839
Entity
Organization
Contact information
Practice address
4811 E COLFAX AVE, DENVER, CO 80220-1205
(720) 789-1839
Mailing address
4811 E COLFAX AVE, DENVER, CO 80220-1205
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
12/13/2021
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