Individual provider · Type 1 NPI
Justin Bennett Wiley
Assisted Living Facility · Wheat Ridge, CO
NPI number
1558844472
Active
Practice location
3113 Teller St
Wheat Ridge, CO 80033-8057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 230414 (CO) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3 other providers at this address
About NPI 1558844472
Justin Bennett Wiley's National Provider Identifier is 1558844472, issued on Sep 7, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Sep 19, 2018.