Your Second Home LLC
NPI #1265020325 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1265020325
- Entity Type
- Organization
- Organization Name
- Your Second Home LLC
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Jan 5, 2021
- Last Updated
- Jan 5, 2021
Practice Location
- Address
- 3880 DOVER ST
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-4317
- Phone
- (303) 424-1266
Authorized Official
- Name
- EARL VANZE CO
- Title
- MANAGER
- Phone
- (518) 882-8383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Assisted Living Facility - Assisted Living, Behavioral Disturbances — Assisted Living, Behavioral Disturbances |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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