| NPI | 1285209346 |
|---|---|
| Doing Business As | BROOKSIDE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | JEFFREY AARON PITUS Administrator 719-632-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-09-09 |