Individual
CASEY LENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5596 W INDORE DR, LITTLETON, CO 80128-7030
(720) 504-7399
Mailing address
716 RIDGEMONT PL, HIGHLANDS RANCH, CO 80126-5583
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31182
INNOVAGE
CO
Enumeration date
02/12/2020
Last updated
02/12/2020
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