| NPI | 1043743768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L. NORDLIE Operating Manager 719-200-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 002) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |