Organization
ASSISTED LIVING AT PUEBLO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANY S WONG (ADMINISTRATOR)
(720) 635-4734
Entity
Organization
Contact information
Practice address
544 E. ABRIENDO AVENUE, PUEBLO, CO 81004-2389
(719) 569-7990
(719) 569-7945
Mailing address
P.O. BOX 274, PARKER, CO 80134-8998
(720) 635-4734
(720) 420-1322
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000203874
—
CO
Enumeration date
08/11/2026
Last updated
08/11/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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