# GRAND POTENTIAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356055180
- **Authorized official:** MARISSA SPURLIN OTR/L (OTR/L)
- **Authorized official phone:** (303) 590-8611

## Contact information

- **Practice address:** 66 LYONS HOMESTEAD DR, GRAND LAKE, CO 80447-8044
- **Practice address phone:** (303) 590-8611
- **Mailing address:** PO BOX 677, GRANBY, CO 80446-0677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 01/06/2023