Provider Demographics
NPI:1992342794
Name:CARDAN MANOR ASSISTED LIVING II INC
Entity type:Organization
Organization Name:CARDAN MANOR ASSISTED LIVING II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAM
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:720-209-5625
Mailing Address - Street 1:PO BOX 461352
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80046-1352
Mailing Address - Country:US
Mailing Address - Phone:720-209-5625
Mailing Address - Fax:303-680-4549
Practice Address - Street 1:2895 S KILLARNEY WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-9901
Practice Address - Country:US
Practice Address - Phone:720-209-5625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-30
Last Update Date:2019-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility