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SAM LEM HEAN

Assisted Living, Mental Illness

Grand Junction, Colorado

Provider NPI: 1750587077

Organization Information:
Organization Name:  SAM LEM HEAN


Practice Location:
174 EDLUM ROAD  GRAND JUNCTION, CO 81503 US
Tel: 970-210-0292  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
68350872CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS CO - Page 1