Interlace Living LLC

NPI #1063062313 in Littleton, Colorado

Provider Information

NPI Number: 1063062313
Entity Type: Organization
Organization Name: Interlace Living LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 18, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 5912 S CODY ST STE 208
City: Littleton
State: Colorado
ZIP Code: 80123-9544
Phone: (720) 496-9732

Authorized Official

Name: MR. THOMAS EDWARD LAFAVE
Title: OWNER
Phone: (720) 496-9732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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