Angkor Wat Assisted Living-House 1

LBN: High Desert Assisted Living, Llc
Angkor Wat Assisted Living-House 1 is an health care organization with primary practice located at 3293 Lombardy Ln , Clifton CO 81520-7717. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. High Desert Assisted Living, Llc can be contacted via phone (970) 434-7036, or through Irvin, Tammy Lynn via phone (970) 640-7371.

Contact Information

Primary practice address
3293 Lombardy Ln Clifton CO 81520-7717
Phone: (970) 434-7036
Fax: (970) 523-1082
Website:
Map and Directions
Authorized official contact:
Name: Irvin, Tammy Lynn
Phone: (970) 640-7371

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X Colorado

Profile Details

NPI number 1801261516
LBN Legal business name High Desert Assisted Living, Llc
DBA Doing business as Angkor Wat Assisted Living-House 1
Authorized official Irvin, Tammy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2015
Last updated Dec 7th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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