Organization
LIFE4MAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA THOMAS-WARE (EXECUTIVE DIRECTOR)
(720) 427-7363
Entity
Organization
Contact information
Practice address
8959 COLORADO BLVD APT 104, THORNTON, CO 80229-4094
(720) 427-7363
Mailing address
8959 COLORADO BLVD APT 104, THORNTON, CO 80229-4094
(720) 427-7363
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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