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Organization

SOUTHWEST PROFESSIONAL PROPERTIES, INC

Active
Other names
VISTA MESA ASSISTED LIVING
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN W BRISCOE (VICE PRESIDENT)
(970) 395-0404
Entity
Organization

Contact information

Practice address
1206 NORTH MILDRED ROAD, CORTEZ, CO 81321
(970) 395-0404
(970) 395-0606
Mailing address
P O BOX 336250, GREELEY, CO 80633
(970) 395-0404
(970) 395-0606

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL0865
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27903389
CO
Enumeration date
10/04/2006
Last updated
08/22/2020
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