Organization
NHA@GRAND JUNCTION, LP
Active
Organization
NHA@GRAND JUNCTION, LP
Active
Other names
Residence at Grand Mesa
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MATRAZZO JD (COO)
(305) 444-5007
Entity
Organization
Contact information
Practice address
565 28 1/4 RD, GRAND JUNCTION, CO 81501-4929
(970) 241-8899
Mailing address
565 28 1/4 RD, GRAND JUNCTION, CO 81501-4929
(970) 241-8899
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23R116
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24058271
—
CO
Enumeration date
11/03/2015
Last updated
11/03/2015
Update your record
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