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Organization

IVORY ASSISTED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH LEE (ADMINISTRATOR)
(303) 690-4150
Entity
Organization

Contact information

Practice address
4633 S IVORY CIR, AURORA, CO 80015-1407
(303) 690-4150
(303) 690-4150
Mailing address
4633 S IVORY CIR, AURORA, CO 80015-1407
(303) 690-4150
(303) 690-4150

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23M119
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80456278
CO
Enumeration date
09/17/2015
Last updated
09/17/2015
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