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Organization

CAMPBELL-MULJANAH ENTERPRISES

Active
Other names
St. Bernadette Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LYLE CAMPBELL (ADMINISTRATOR)
(303) 941-9460
Entity
Organization

Contact information

Practice address
4468 E LAKE CIR S, CENTENNIAL, CO 80121-3314
(303) 694-5743
(303) 694-5743
Mailing address
4953 S FIELD CT, LITTLETON, CO 80123-1919
(303) 941-9460
(303) 694-5743

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23Q703
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
COTP139457A
CO
Enumeration date
02/11/2011
Last updated
02/11/2011
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