| NPI | 1548474554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ALLEN BYNUM Owner 970-884-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO AL0647) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |