Organization
SAM LEM HEAN
Active
Other names
Family Care Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM LEM HEAN B.A. (OWNER)
(970) 210-0292
Entity
Organization
Contact information
Practice address
174 EDLUM ROAD, GRAND JUNCTION, CO 81503
(970) 210-0292
(970) 523-8066
Mailing address
476 GUNNISON WAY, GRAND JUNCTION, CO 81503
(970) 241-6379
(970) 523-8066
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68350872
—
CO
Enumeration date
06/24/2007
Last updated
08/05/2008
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