| NPI | 1861169195 |
|---|---|
| Doing Business As | BROSS STREET ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CARMEN LOUISE SAMPLE CEO 303-523-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |