| NPI | 1487027199 |
|---|---|
| Doing Business As | RESIDENCE AT GRAND MESA |
| Entity Type | Organization |
| Authorized Contact | ROBERT MATRAZZO COO 305-444-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23R116) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |