| NPI | 1376142117 |
|---|---|
| Doing Business As | GARDEN RANCH ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CHARISSA RICHARDSON Owner/Administrator 719-920-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator |
| Additional Taxonomies | 376G00000X Nursing Home Administrator |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |