Organization
ANDIRA INC
Active
Other names
Pineycreek Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA OMITERU (CEO)
(303) 520-3009
Entity
Organization
Contact information
Practice address
6666 S PINEY CREEK CIR, CENTENNIAL, CO 80016-1108
(303) 797-9110
(720) 204-2652
Mailing address
PO BOX 631053, HIGHLANDS RANCH, CO 80163-1053
(303) 797-9110
(720) 204-2652
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23I538
CO
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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