Provider Demographics
NPI:1467864306
Name:JEWELL ASSISTED LIVING MANAGEMENT INC
Entity Type:Organization
Organization Name:JEWELL ASSISTED LIVING MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSIE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-893-9300
Mailing Address - Street 1:1601 LOWELL BLVD
Mailing Address - Street 2:#111
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1545
Mailing Address - Country:US
Mailing Address - Phone:303-893-9300
Mailing Address - Fax:303-893-4384
Practice Address - Street 1:1601 LOWELL BLVD
Practice Address - Street 2:#111
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1545
Practice Address - Country:US
Practice Address - Phone:303-893-9300
Practice Address - Fax:303-893-4384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2304JQ310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility