Organization
ASHLEY MANOR, LLC
Active
Parent organization
ASHLEY MANOR, LLC
Other names
Ashley Manor - Evans III
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
1715 32ND ST, EVANS, CO 80620-3421
(208) 376-7298
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
02/07/2018
Last updated
03/01/2022
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