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SAMPLE SUPPORTS, LLC 1861169195

Overview
Name: SAMPLE SUPPORTS, LLC Specialty: Assisted Living Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Nursing & Custodial Care Facilities Classification: Assisted Living Facility Specialization: . Definition of Specialty: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: SAMPLE SUPPORTS, LLC,537 BROSS ST,LONGMONT,CO,805015430,US Mailing Address: SAMPLE SUPPORTS, LLC,620 KIMBARK ST,LONGMONT,CO,805014911,US
Contact #
Practice location phone #: 7206846946 Practice location fax #: Mailing address Phone #: 7206846102 Mailing Address fax #: Authorized official Name/Telephone #:CARMEN, LOUISE, SAMPLE, CEO 3035238057
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 08/25/2021 Insurances:

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