Organization
GRAND VALLEY PRO CLEAN LIMITED LIABILITY COMPANY
Active
Other names
Grand Valley Pro Clean, Grand Valley Pro Clean Limited Liability Company
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ALLEN WALL (OWNER)
(970) 783-8247
Entity
Organization
Contact information
Practice address
499 CORONADO CT UNIT C, CLIFTON, CO 81520-7628
(970) 783-8247
Mailing address
499 CORONADO CT UNIT C, CLIFTON, CO 81520-7628
(970) 783-8247
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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