Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BENNETT WILEY
Active Sole ProprietorJUSTIN BENNETT WILEY is a Assisted Living Facility healthcare provider located in WHEAT RIDGE, Colorado. NPI 1558844472 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · WHEAT RIDGE, CO
Registration Details
- NPI Number
- 1558844472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2018 (7.9544521673031 yrs)
- Last Updated
- Sep 19, 2018
- License
-
230414 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3113 TELLER STWHEAT RIDGE, CO, 800338057Browse CO providers · Browse ZIP 80033
- Phone
- 3032332808
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.