| NPI | 1558126359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANGELLA PEART CEO 719-517-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |