Organization
EATON TERRACE II ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LYNN DELGADO (CHIEF OPERATING OFFICER)
(303) 937-3000
Entity
Organization
Contact information
Practice address
323 S EATON ST, LAKEWOOD, CO 80226-3565
(303) 937-3000
(303) 937-3090
Mailing address
323 S EATON ST, LAKEWOOD, CO 80226-3565
(303) 937-3000
(303) 937-3090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2304A8
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09000308
—
CO
Enumeration date
07/10/2008
Last updated
07/10/2008
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