Organization
ASHLEY MANOR, LLC
Active
Parent organization
ASHLEY MANOR, LLC
Other names
Ashley Manor Fort Lupton II
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASHLEY MANOR, LLC
Authorized official
MARK ELLISON (AUTHORIZED PERSON)
(208) 376-7298
Entity
Organization
Contact information
Practice address
1150 4TH ST, FORT LUPTON, CO 80621-1738
(303) 857-1921
Mailing address
PO BOX 1176, MERIDIAN, ID 83680-1176
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
03/01/2022
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