Organization
TY'S HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN SHOCKLEY (ADMINISTRATOR)
(303) 307-8332
Entity
Organization
Contact information
Practice address
5060 TROY ST, DENVER, CO 80239-4338
(303) 307-8332
(303) 261-1112
Mailing address
PO BOX 390651, DENVER, CO 80239-1651
(303) 307-8332
(303) 261-1112
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0293
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15655351
—
CO
Enumeration date
03/27/2007
Last updated
08/22/2020
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