Organization
A WILDFLOWER ASSISTED LIVING AND CARE HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SCHIAVONE (OWNER)
(720) 628-9092
Entity
Organization
Contact information
Practice address
9423 W 64TH AVE, ARVADA, CO 80004-5237
(720) 628-9092
(866) 941-5820
Mailing address
1140 US HIGHWAY 287, 400-298, BROOMFIELD, CO 80020-7080
(720) 628-9092
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
23A411
CO
310400000X
Assisted Living Facility
23H526
CO
310400000X
Assisted Living Facility
23O410
CO
310400000X
Assisted Living Facility
Primary
23X367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04405374
—
CO
05
—
9000133104
—
CO
05
—
9000133109
—
CO
05
—
9000138301
—
CO
05
—
9000143196
—
CO
Enumeration date
03/01/2017
Last updated
03/01/2017
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