Provider Demographics
NPI:1821552480
Name:W, L, & J, L, INC.
Entity Type:Organization
Organization Name:W, L, & J, L, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-484-4996
Mailing Address - Street 1:325 S ALMSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:WATKINS
Mailing Address - State:CO
Mailing Address - Zip Code:80137-8931
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:720-484-4993
Practice Address - Street 1:325 S ALMSTEAD RD
Practice Address - Street 2:
Practice Address - City:WATKINS
Practice Address - State:CO
Practice Address - Zip Code:80137-8931
Practice Address - Country:US
Practice Address - Phone:720-484-4996
Practice Address - Fax:720-484-4993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:W, L, & J, L, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-29
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1821552480OtherPRIVATE INSURANCE