NPI 1063062313

Interlace Living LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Littleton, CO

Practice location

Address: 5912 S Cody St STE 208, Littleton, CO 80123-9544
Phone: (720) 496-9732

Authorised official

Name: Thomas Edward Lafave
Title: Owner
Phone: (720) 496-9732

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1063062313
Entity type: Organization
NPI issued: 18 Sep 2019
Record last updated: 18 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.