Organization
LAKEWOOD HOMESTEAD LTD
Active
Other names
The Homestead at Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY BRIDGE (PRESIDENT/OWNER)
(303) 233-2121
Entity
Organization
Contact information
Practice address
2121 WADSWORTH BLVD, LAKEWOOD, CO 80214-5706
(303) 233-2121
Mailing address
2121 WADSWORTH BLVD., LAKEWOOD, CO 80214-5706
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0425
CO
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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