Organization
HAVEN OF CARE ASSISTED LIVING AT TOLLGATE CROSSING
Active
Organization
HAVEN OF CARE ASSISTED LIVING AT TOLLGATE CROSSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAWATI WIRANTONO (OWNER/ADMINISTRATOR)
(303) 947-7392
Entity
Organization
Contact information
Practice address
5010 S DUQUESNE ST, AURORA, CO 80016-5866
(303) 947-7392
(303) 400-5159
Mailing address
PO BOX 461284, CENTENNIAL, CO 80046-1284
(303) 690-5534
(303) 400-5159
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23D456
CO
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
Update your record
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