Doctor Name: | MR. LYNN ALAN MURRAY |
NPI Number: | 1508055385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 23N143 |
Business Practice Address: | 720 E Springmont Dr Pueblo West, CO - 810073526 |
Business Phone Number: | 7195472805 |
Business Fax Number: | 7196479780 |
Mailing Address: | 720 E Springmont Dr, PUEBLO WEST |
State: | CO |
Postal Code: | 810073526 |
Phone Number: | 7195472805 |
Fax Number: | 7196479780 |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 23N143 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |