Organization · NPI-2

Angel Group Home

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

NPI number1952804254
StatusActive
Last updated in NPPESApr 22, 2019

Details

NPI
1952804254
Entity type
Organization (NPI-2)
Legal business name
Angel Group Home
Organization subpart
No
Enumeration date
Mar 13, 2018
Last updated
Apr 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Other names

  • No (Former Legal Business Name)

Practice location

90 Madison St Ste 405
Denver, CO 80206-5413

Phone 720-244-3035

Mailing address

90 Madison St Ste 405
Denver, CO 80206-5413

Authorized official

Junou Cheng
Owner
3035703053

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