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Organization

LOVELAND I MSL LLC

Active
Parent organization
MBK SENIOR LIVING
Organization subpart
Yes

Provider details

NPI number
Legal business name
MBK SENIOR LIVING
Authorized official
MR. TERRY HINES HOWARD (PRESIDENT)
(949) 242-1410
Entity
Organization

Contact information

Practice address
535 DOUGLAS AVE, LOVELAND, CO 80537-5380
(970) 593-9800
(970) 593-9810
Mailing address
4 PARK PLZ, SUITE 400, IRVINE, CA 92614-8560
(949) 242-1414

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23E476
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407143423
UT
05
1568759488
UT
05
1578850590
UT
Enumeration date
06/26/2013
Last updated
06/26/2013
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