Organization
OUR FAMILY CARE HOME ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN MOYLAN (OWNER)
(303) 960-8300
Entity
Organization
Contact information
Practice address
1169 JOHNSON STREET, LAKEWOOD, CO 80215
(541) 598-5336
(303) 237-1690
Mailing address
1169 JOHNSON STREET, LAKEWOOD, CO 80215
(541) 598-5336
(303) 237-1690
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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