Organization
PENNY LANE ASSISTED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE WILSON (PRESIDENT)
(303) 961-4382
Entity
Organization
Contact information
Practice address
7463 E COSTILLA PL, CENTENNIAL, CO 80112-1216
(303) 961-4382
Mailing address
6987 CHOKE CHERRY WAY, LITTLETON, CO 80125-8712
(303) 961-4382
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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