Organization
HAVEN OF CARE ASSISTED LIVING AT ARGONNE, LLC
Active
Organization
HAVEN OF CARE ASSISTED LIVING AT ARGONNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAWATI WIRANTONO (ADMINISTRATOR)
(303) 947-7392
Entity
Organization
Contact information
Practice address
3920 S ARGONNE WAY, AURORA, CO 80013-3602
(303) 947-7392
(303) 400-5159
Mailing address
PO BOX 461284, AURORA, CO 80046-1284
(303) 947-7392
(303) 400-5159
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23M127
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21658358
—
CO
Enumeration date
11/17/2015
Last updated
11/17/2015
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