Organization
SENIOR LIVING AT THE PINERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYADEVI K SEENICHAMY LCSW, PHD (OWNER/ADMINISTRATOR)
(303) 808-4047
Entity
Organization
Contact information
Practice address
6875 N WINDVIEW CIR, PARKER, CO 80134-6337
(303) 808-4047
(303) 617-1341
Mailing address
PO BOX 630696, HIGHLANDS RANCH, CO 80163-0696
(303) 808-4047
(303) 617-1341
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
23W266
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55575315
PROVIDER NUMBER
CO
Enumeration date
02/25/2016
Last updated
02/25/2016
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