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IDYLLWOOD MANOR AT ANDES CT. LLC NPI 1417310509


NPI Information

NPI: 1417310509
Provider Name: IDYLLWOOD MANOR AT ANDES CT., LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
5286 S ANDES CT
CENTENNIAL, CO
ZIP 80015
Phone: (303) 513-4784
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IDYLLWOOD MANOR AT ANDES CT., LLC is an assisted living facility in Centennial, 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. IDYLLWOOD MANOR AT ANDES CT., LLC NPI is 1417310509. The provider is registered as an organization entity type.

The provider's business location address is:

5286 S ANDES CT
CENTENNIAL, CO
ZIP 80015-896
Phone: (303) 513-4784
Fax: (303) 799-5837

The provider's authorized official is Bob Manzi .
The authorized official title is Member and has the following contact phone number (303) 513-4784.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 4/5/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility23V725COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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