HAVERLAND CARTER RALSTON CREEK LLC NPI 1407422017

NPI Information

HAVERLAND CARTER RALSTON CREEK LLC is an assisted living facility in Arvada, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HAVERLAND CARTER RALSTON CREEK LLC NPI is 1407422017. The provider is registered as an organization entity type.
The provider Is Doing Business As Ralston Creek Neighborhood Inc..

The provider's business location address is:

11825 W 64TH AVE
ARVADA, CO
ZIP 80004-307
Phone: (303) 284-7813
Fax: (303) 284-7803

The provider's authorized official is E. Deann Eaton-azar .
The authorized official title is Ceo and has the following contact phone number (505) 291-3294.

The CLIA number assigned to this NPI record is 06D2299515 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2021 and was last updated on 7/14/2021.

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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