| NPI | 1417462185 |
|---|---|
| Doing Business As | GOLDEN GATE MANOR 2 |
| Entity Type | Organization |
| Authorized Contact | MARK HARRIMAN President 719-369-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 230654) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: CO 230654) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |