Organization
LIFEHOUSE VOCATIONAL SUPPORT, LLC
Active
Other names
Life House Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY PAINTER (CEO/OWNER)
(720) 280-1023
Entity
Organization
Contact information
Practice address
7837 S KALISPELL CIR, ENGLEWOOD, CO 80112-4647
(720) 280-1023
Mailing address
7837 S KALISPELL CIR, ENGLEWOOD, CO 80112-4647
(720) 280-1023
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
04/05/2018
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