Lucyana Tanuwidjaja
Lucyana Tanuwidjaja is an Assisted Living Facility in Centennial, Colorado. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6948 S Syracuse CtCentennial, CO 80112-1230
Phone: (720) 404-6249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1558035972 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2021 |
| Last updated in NPPES | August 9, 2021 |
| Certification date | August 9, 2021 |
| Mailing address | 6948 S Syracuse Ct, Centennial, CO 80112-1230 |
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