12080 Bellaire Way Operations LLC
NPI #1912578279 in Thornton, Colorado
Provider Information
- NPI Number
- 1912578279
- Entity Type
- Organization
- Organization Name
- 12080 Bellaire Way Operations LLC
- Primary Specialty
- Respite Care
- Enumeration Date
- Jul 8, 2021
- Last Updated
- Jul 8, 2021
Practice Location
Authorized Official
- Name
- MICHAEL THEODORE BERG
- Title
- CORP OFFICER
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
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