Organization
MK LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANISE MACHELLE POLUMBUS (EXECUTIVE DIRECTOR)
(720) 300-7719
Entity
Organization
Contact information
Practice address
17006 E OHIO DR APT 1-102, AURORA, CO 80017-3433
(720) 300-7719
Mailing address
7384 E PRINCETON AVE, DENVER, CO 80237-2386
(720) 300-7719
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347E00000X
Transportation Broker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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