Organization
GRAND JUNCTION WELLAGE PACIFICA, LLC
Active
Other names
The Lodge at Grand Junction
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(720) 974-6278
Entity
Organization
Contact information
Practice address
2656 PATTERSON RD, GRAND JUNCTION, CO 81506-8820
(970) 822-4141
(970) 245-0771
Mailing address
2656 PATTERSON RD, GRAND JUNCTION, CO 81506-8820
(970) 822-4141
(970) 245-0771
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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