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General NPI Number Information
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NPI Number | 1033855234
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Entity Type | Organization
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Legal Business Name | WELLSPRING BRIGHTON ASSISTED LIVING LLC
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 422 SUNSHINE WAY
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City | BRIGHTON
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State | CO
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Zip | 80601-4289
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Country | US
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Telephone | 720-272-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 11726 ZENOBIA LOOP
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City | WESTMINSTER
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State | CO
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Zip | 80031-7851
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Country | US
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Telephone | 720-272-7748
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JONATHAN MORSE
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Credential |
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Telephone | 720-272-7748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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