| NPI | 1053810895 |
|---|---|
| Doing Business As | ASHLEY MANOR FORT LUPTON II |
| Entity Type | Organization |
| Authorized Contact | MARK ELLISON Authorized Person 208-376-7298 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-03-01 |