| NPI | 1104357318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY LEE SIMPSON Adminstrator 719-473-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23F100) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-08-30 |