Randolph Assisted Living LLC

NPI #1093252298 in Denver, Colorado

Provider Information

NPI Number: 1093252298
Entity Type: Organization
Organization Name: Randolph Assisted Living LLC
Primary Specialty: Adult Companion
Enumeration Date: Jan 25, 2017
Last Updated: Jan 25, 2017

Practice Location

Address: 12974 E ELGIN DR
City: Denver
State: Colorado
ZIP Code: 80239-4419
Phone: (719) 250-3048

Authorized Official

Name: MONALISA RANDOLPH
Title: OWNER ADMINISTRATOR
Phone: (719) 250-3048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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