Organization
VANDY'S SUPPORTED LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUEANN N ZIESK (CEO)
(720) 323-5553
Entity
Organization
Contact information
Practice address
303 E KENYON AVE, ENGLEWOOD, CO 80113-3719
(720) 323-5553
Mailing address
303 E KENYON AVE, ENGLEWOOD, CO 80113-3719
(720) 323-5553
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/26/2016
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