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Organization

BEEWELL ASSISTED LIVING LLC

Active
Other names
BeeWell Assisted Living LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRANDON SCOTT GUSTAFSON MBA/MHA (MANAGING MEMBER)
(801) 696-7587
Entity
Organization

Contact information

Practice address
816 W KIOWA ST, COLORADO SPRINGS, CO 80905-1423
(719) 578-1355
(719) 578-5889
Mailing address
8007 S 6910 W, WEST JORDAN, UT 84081-3117
(801) 696-7587

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230508
STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
CO
Enumeration date
12/29/2020
Last updated
12/29/2020
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