Organization
EXTENDED FAMILY ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELLI MONINGKA (OWNER/ADMINISTRATOR)
(720) 670-6293
Entity
Organization
Contact information
Practice address
7488 S KIT CARSON ST, CENTENNIAL, CO 80122-1495
(720) 283-2127
(720) 283-2128
Mailing address
19160 E PACIFIC PL, AURORA, CO 80013-7769
(720) 670-6293
(720) 283-2128
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CO
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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