Organization
ANGELS FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CONSTANTINO CRUZ (OWNER/EXECUTIVE DIRECTOR)
(303) 642-5502
Entity
Organization
Contact information
Practice address
5155 W CUSTER PL, DENVER, CO 80219-2297
(303) 642-5502
(720) 884-0153
Mailing address
5155 W CUSTER PL, DENVER, CO 80219-2297
(303) 642-5502
(720) 884-0153
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
CO-1500
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68222360
—
CO
Enumeration date
07/31/2014
Last updated
07/31/2014
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