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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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