Individual provider · Type 1 NPI
Lucyana Tanuwidjaja
Assisted Living Facility · Centennial, CO
NPI number
1558035972
Active
Practice location
6948 S Syracuse Ct
Centennial, CO 80112-1230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Centennial
About NPI 1558035972
Lucyana Tanuwidjaja's National Provider Identifier is 1558035972, issued on Aug 9, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Centennial, CO. The record was last updated on Aug 9, 2021.