NPI | 1386716215 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LEE LARSEN President 719-636-2731 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 230518) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |