Organization
LIL FRIENDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COX OTR/L (OWNER/EXECUTIVE DIRECTOR)
(303) 358-9341
Entity
Organization
Contact information
Practice address
805 BURBANK ST, BROOMFIELD, CO 80020-1649
(303) 358-9341
(303) 484-3315
Mailing address
17857 W 87TH AVE, ARVADA, CO 80007-7249
(303) 229-9243
(303) 484-3315
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417476979
—
CO
Enumeration date
10/29/2018
Last updated
09/05/2022
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