LLB-LLC
Assisted Living Facility
Grand Junction, Colorado
Provider NPI: 1538174487
Organization Information:Organization Name: LLB-LLC
Practice Location:
2897 ORCHARD AVE GRAND JUNCTION, CO 81501 US
Tel: 970-245-0788 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2897 ORCHARD AVE GRAND JUNCTION, CO 81501 US
Tel: 970-245-0788 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CO | AL-0685 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
59971894 | CO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin