Organization
TBI COLORADO
Active
Organization
TBI COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDI SAMUEL (CEO)
(720) 412-5730
Entity
Organization
Contact information
Practice address
7681 S WELLINGTON ST, CENTENNIAL, CO 80122-3054
(720) 412-5730
Mailing address
10730 JORDAN CT, PARKER, CO 80134-7614
(720) 412-5730
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23A468
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51342
—
CO
Enumeration date
06/06/2018
Last updated
06/06/2018
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