Organization · NPI-2

Mk Living, INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Aurora, CO

NPI number1114609088

StatusActive

Last updated in NPPESAug 1, 2023

Details

NPI: 1114609088
Entity type: Organization (NPI-2)
Legal business name: Mk Living, INC
Organization subpart: No
Enumeration date: Aug 1, 2023
Certification date: Aug 1, 2023
Last updated: Aug 1, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
347E00000X	Transportation Broker	–	–
373H00000X	Day Training/Habilitation Specialist	–	–
376J00000X	Homemaker	–	–
385H00000X	Respite Care	–	–

Practice location

17006 E Ohio Dr Apt 1-102
Aurora, CO 80017-3433

Phone 720-300-7719

Mailing address

7384 E Princeton Ave
Denver, CO 80237-2386

Phone 720-300-7719

Authorized official

Danise Machelle Polumbus
Executive Director
7203007719

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