Organization
IDYLLWOOD MANOR AT ANDES CT., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB MANZI (MEMBER)
(303) 513-4784
Entity
Organization
Contact information
Practice address
5286 S ANDES CT, CENTENNIAL, CO 80015-4896
(303) 513-4784
(303) 799-5837
Mailing address
PO BOX 2253, PARKER, CO 80134-1414
(303) 513-4784
(303) 799-5837
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23V725
CO
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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