Organization
THE MARY SANDOE HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DOROTHY MARIE LONGOBARDI (DIRECTOR)
(303) 494-7317
Entity
Organization
Contact information
Practice address
1244 GILLASPIE DR, 1242 GILLASPIE DRIVE, BOULDER, CO 80305-6600
(303) 494-7317
(303) 494-0653
Mailing address
1244 GILLASPIE DR, 1242 GILLASPIE DRIVE, BOULDER, CO 80305-6600
(303) 494-7317
(303) 494-0653
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
230354
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181251
—
CO
Enumeration date
11/08/2016
Last updated
11/08/2016
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