Organization
ANGELS FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANTINO CRUZ (DIRECTOR)
(303) 642-5502
Entity
Organization
Contact information
Practice address
5155 W CUSTER PL, DENVER, CO 80219-2297
(303) 642-5502
Mailing address
5155 W CUSTER PL, DENVER, CO 80219-2297
(303) 642-5502
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
20111421085
CO
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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