Organization
MK LIVING OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANISHA POLUMBUS (OWNER)
(720) 300-7719
Entity
Organization
Contact information
Practice address
7384 E PRINCETON AVE, DENVER, CO 80237-2386
(720) 300-7719
Mailing address
7384 E PRINCETON AVE, DENVER, CO 80237-2386
(720) 300-7719
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
09/15/2025
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