NPI | 1205367414 |
---|---|
Entity Type | Organization |
Authorized Contact | RICKY LEE SIMPSON Administrator 719-473-6339 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 230543) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2022-08-30 |