Organization
RANDOLPH ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONALISA RANDOLPH (OWNER ADMINISTRATOR)
(719) 250-3048
Entity
Organization
Contact information
Practice address
12974 E ELGIN DR, DENVER, CO 80239-4419
(719) 250-3048
(303) 375-0674
Mailing address
12974 E ELGIN DR, DENVER, CO 80239-4419
(719) 250-3048
(303) 375-0674
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
23Q662
CO
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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