NPI: 1801261516
Provider Name: HIGH DESERT ASSISTED LIVING, LLC
Doing Business As: ANGKOR WAT ASSISTED LIVING-HOUSE 1
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
3293 LOMBARDY LN
CLIFTON, CO
ZIP 81520
Phone: (970) 434-7036
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HIGH DESERT ASSISTED LIVING, LLC is an assisted living and mental illness assisted living facility in Clifton, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. HIGH DESERT ASSISTED LIVING, LLC NPI is 1801261516. The provider is registered as an organization entity type.
The provider Is Doing Business As Angkor Wat Assisted Living-house 1.
The provider's business location address is:
3293 LOMBARDY LN
CLIFTON, CO
ZIP 81520-717
Phone: (970) 434-7036
Fax: (970) 523-1082
The provider's authorized official is Tammy Lynn Irvin .
The authorized official title is Owner/administrator and has the following contact phone number (970) 640-7371.
The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.