Organization
SAMPLE SUPPORTS, LLC
Active
Organization
SAMPLE SUPPORTS, LLC
Active
Other names
Bross Street Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LOUISE SAMPLE (CEO)
(303) 523-8057
Entity
Organization
Contact information
Practice address
537 BROSS ST, LONGMONT, CO 80501-5430
(720) 684-6946
Mailing address
620 KIMBARK ST, LONGMONT, CO 80501-4911
(720) 684-6102
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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