Provider Demographics
NPI:1952768202
Name:LIFE ENRICHMENT OPPORTUNITIES, LLC
Entity Type:Organization
Organization Name:LIFE ENRICHMENT OPPORTUNITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE MEMBER / DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PETRA
Authorized Official - Middle Name:F
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-641-7904
Mailing Address - Street 1:1558 PRAIRIE HIGH RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8006
Mailing Address - Country:US
Mailing Address - Phone:303-641-7904
Mailing Address - Fax:
Practice Address - Street 1:1558 PRAIRIE HIGH RD
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8006
Practice Address - Country:US
Practice Address - Phone:303-641-7904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care