Organization
JUST FOR SENIORS LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FINE OTUKOLO (PRESIDENT)
(303) 238-6722
Entity
Organization
Contact information
Practice address
1180 BRENTWOOD ST, LAKEWOOD, CO 80214-4015
(303) 238-6722
(303) 232-4095
Mailing address
1450 WINONA CT, DENVER, CO 80204
(303) 238-6722
(303) 232-4095
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
2304NE
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04183513
—
CO
Enumeration date
02/09/2016
Last updated
02/09/2016
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