Organization
MAKARIOS ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUYATNO FNU (OWNER)
(720) 404-1445
Entity
Organization
Contact information
Practice address
11541 W TEMPLE AVE, LITTLETON, CO 80127-1014
(303) 933-4807
(303) 933-2011
Mailing address
19148 E LASALLE PL, AURORA, CO 80013-6454
(720) 404-1445
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0971
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62905872
—
CO
Enumeration date
03/19/2007
Last updated
08/22/2020
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