Organization
ASPEN MEADOWS ASSISTED LIVING, LLC
Active
Other names
Angkor Wat Alternative Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDON GERALD RAVENS (ADMINISTRATOR)
(970) 201-6678
Entity
Organization
Contact information
Practice address
476 GUNNISON WAY, GRAND JUNCTION, CO 81504-5849
(970) 433-7385
(970) 433-7475
Mailing address
476 GUNNISON WAY, GRAND JUNCTION, CO 81504-5849
(970) 433-7385
(970) 433-7475
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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