Angkor Wat Alternative Care
NPI #1598120826 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1598120826
- Entity Type
- Organization
- Organization Name
- Angkor Wat Alternative Care
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Dec 31, 2015
- Last Updated
- Dec 31, 2015
Practice Location
- Address
- 476 GUNNISON WAY
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81504-5849
- Phone
- (970) 434-8240
Authorized Official
- Name
- MR. SAM LEM HEAN, B.A.
- Title
- OWNER
- Phone
- (970) 210-0292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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