OrganizationActive
Angkor Wat East Assisted Living I
NPI 1861793457 · Assisted Living Facility (Mental Illness) · Clifton, CO
Provider details
- NPI number
- 1861793457
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Hean, Owner(970) 210-0292
- License
- 23U321 (CO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3293 Lombardy Ln
Clifton, CO 81520-7717
Phone: (970) 210-0292
Fax: (970) 434-7036
Approximate (ZIP-level) locationGet directions
Mailing address
207 River Ridge Dr
Grand Junction, CO 81503-3421
Other names (DBA / former)
- Doing business as
- Angkor Wat East Assisted Living, Inc
Registry dates
- Enumerated
- 2010-11-12
- Last updated
- 2010-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.