| NPI | 1346083854 |
|---|---|
| Other Name | GRAND VALLEY PRO CLEAN LIMITED LIABILITY COMPANY |
| Doing Business As | GRAND VALLEY PRO CLEAN |
| Entity Type | Organization |
| Authorized Contact | BRADLEY ALLEN WALL Owner 970-783-8247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |