NPI 1063887990

Robert Russell Eastern Star Masonic Center

Organisation Assisted Living Facility Denver, CO

Practice location

Address: 2445 S Quebec St, Denver, CO 80231-6030
Phone: (303) 756-9489

Authorised official

Name: Larry Lillo
Title: Executive Director
Phone: (303) 756-9489

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 2304HP (CO)

Other Assisted Living Facility providers in Colorado →

Registry record

NPI: 1063887990
Entity type: Organization
NPI issued: 3 Dec 2015
Record last updated: 3 Dec 2015

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.