Organization
ALADDIN ASSISTED LIVING, LLC
Active
Other names
Aladdin at Brush
Organization subpart
No
Provider details
NPI number
Authorized official
JAUNITA REYNOLDS (ACCOUNTS RECEIVABLE ACCOUNTANT)
(719) 589-2063
Entity
Organization
Contact information
Practice address
2415 MULLINS AVE, SUITE 4, ALAMOSA, CO 81101-4274
(719) 589-2063
Mailing address
428 WESTERN AVE, BRUSH, CO 80723-1726
(970) 842-5463
(970) 842-5463
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0520
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60729236
—
CO
Enumeration date
06/25/2006
Last updated
08/22/2020
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