NPI 1083220750

Liberty Residential LLC

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

Practice location

Address: 4811 E Colfax Ave, Denver, CO 80220-1205
Phone: (720) 789-1839

Authorised official

Name: Danait Redai
Title: Owner
Phone: (720) 789-1839

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: 1083220750
Entity type: Organization
NPI issued: 18 Sep 2020
Record last updated: 13 Dec 2021

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.