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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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