Organization
SUN VALLEY ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARASATY SOEKARSO (ADMINISTRATOR)
(720) 388-5249
Entity
Organization
Contact information
Practice address
7631 S DEPEW WAY, LITTLETON, CO 80128-7051
(720) 388-5249
(720) 287-1005
Mailing address
7631 S DEPEW WAY, LITTLETON, CO 80128-7051
(720) 388-5249
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2304TZ
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2304TZ
CDPHE
CO
Enumeration date
09/21/2015
Last updated
09/21/2015
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