| NPI | 1336510114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISS PRADO Executive Director 719-406-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23M203) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |