Organization
FRIENDS FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE WALKER (DIRECTOR)
(303) 638-8221
Entity
Organization
Contact information
Practice address
3614 S LISBON ST, AURORA, CO 80013-6644
(303) 638-8221
Mailing address
3614 S LISBON ST, AURORA, CO 80013-6644
(303) 638-8221
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57321868
—
CO
Enumeration date
09/27/2016
Last updated
04/03/2017
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