Organization
ST PETRO LLC
Active
Other names
St Petro Laurel Haus
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE A CAMPBELL (ADMINISTRATOR)
(303) 941-9460
Entity
Organization
Contact information
Practice address
7032 S FRANKLIN ST, CENTENNIAL, CO 80122
(303) 770-0600
(303) 770-0600
Mailing address
7032 S FRANKLIN ST, CENTENNIAL, CO 80122
(303) 770-0600
(303) 770-0600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23I963
CO
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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