YOUR SECOND HOME LLC NPI 1265020325

NPI Information

YOUR SECOND HOME LLC is an assisted living and mental illness assisted living facility in Wheat Ridge, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. YOUR SECOND HOME LLC NPI is 1265020325. The provider is registered as an organization entity type.

The provider's business location address is:

3880 DOVER ST
WHEAT RIDGE, CO
ZIP 80033-317
Phone: (303) 424-1266

The provider's authorized official is Earl Vanze Co .
The authorized official title is Manager and has the following contact phone number (518) 882-8383.

The enumeration date for this NPI number is 1/5/2021 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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