# GRAND VALLEY PRO CLEAN LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Valley Pro Clean, Grand Valley Pro Clean Limited Liability Company
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346083854
- **Authorized official:** BRADLEY ALLEN WALL (OWNER)
- **Authorized official phone:** (970) 783-8247

## Contact information

- **Practice address:** 499 CORONADO CT UNIT C, CLIFTON, CO 81520-7628
- **Practice address phone:** (970) 783-8247
- **Mailing address:** 499 CORONADO CT UNIT C, CLIFTON, CO 81520-7628
- **Mailing address phone:** (970) 783-8247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2024
- **Last updated:** 06/13/2024