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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