| NPI | 1427539600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LYNN NORDLIE Operating Manager 719-200-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 054) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |