NPI: 1861793457
Provider Name: ANGKOR WAT EAST ASSISTED LIVING I
Doing Business As: ANGKOR WAT EAST ASSISTED LIVING, INC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
3293 LOMBARDY LN
CLIFTON, CO
ZIP 81520
Phone: (970) 210-0292
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ANGKOR WAT EAST ASSISTED LIVING I 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. ANGKOR WAT EAST ASSISTED LIVING I NPI is 1861793457. The provider is registered as an organization entity type.
The provider Is Doing Business As Angkor Wat East Assisted Living, Inc.
The provider's business location address is:
3293 LOMBARDY LN
CLIFTON, CO
ZIP 81520-717
Phone: (970) 210-0292
Fax: (970) 434-7036
The provider's authorized official is Sam Lem Hean .
The authorized official title is Owner and has the following contact phone number (970) 210-0292.
The enumeration date for this NPI number is 11/12/2010 and was last updated on 11/12/2010.