SearchColoradoAssisted Living Facility

Lucyana Tanuwidjaja

NPI 1558035972 · on the registry since 2021 · sole proprietor

Practice

Address
6948 S Syracuse Ct
Centennial, CO 80112
Phone
(720) 404-6249

Registry record

Primary taxonomy
Assisted Living Facility
310400000X
Sex
Female
Record last updated
2021-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado