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GRAND JUNCTION WELLAGE PACIFICA LLC NPI 1619566072


NPI Information

NPI: 1619566072
Provider Name: GRAND JUNCTION WELLAGE PACIFICA, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2656 PATTERSON RD
GRAND JUNCTION, CO
ZIP 81506
Phone: (970) 822-4141
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GRAND JUNCTION WELLAGE PACIFICA, LLC is an assisted living facility in Grand Junction, CO. The provider is 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. GRAND JUNCTION WELLAGE PACIFICA, LLC NPI is 1619566072. The provider is registered as an organization entity type.

The provider's business location address is:

2656 PATTERSON RD
GRAND JUNCTION, CO
ZIP 81506-820
Phone: (970) 822-4141
Fax: (970) 245-0771

The provider's authorized official is Mary Koretke .
The authorized official title is Director Of Reimbursement and has the following contact phone number (720) 974-6278.

The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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