Organization
SDSB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAFFENY SAMPSON (PRESIDENT)
(970) 554-1115
Entity
Organization
Contact information
Practice address
30799 COUNTY ROAD 46, AKRON, CO 80720-9506
(970) 554-1115
Mailing address
30799 COUNTY ROAD 46, AKRON, CO 80720-9506
(970) 554-1115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
230186
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230186
STATE LICENSE NUMBER FOR ASSISTED LIVING
CO
Enumeration date
03/03/2011
Last updated
03/03/2011
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