| NPI | 1861793457 |
|---|---|
| Doing Business As | ANGKOR WAT EAST ASSISTED LIVING, INC |
| Entity Type | Organization |
| Authorized Contact | SAM LEM HEAN Owner 970-210-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: CO 23U321) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |