Organization
ASHLEY MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLISON (AUTHORIZED REPRESENTATIVE)
(208) 376-7298
Entity
Organization
Contact information
Practice address
10527 IRMA DR, NORTHGLENN, CO 80233-4219
(303) 280-4944
Mailing address
PO BOX 1176, MERIDIAN, ID 83680-1176
(208) 376-7298
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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