| NPI | 1679840557 |
|---|---|
| Doing Business As | DBA WHISPERING PINES AT CRESTVIEW |
| Entity Type | Organization |
| Authorized Contact | RICKY LEE SIMPSON Administrator 719-473-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 230543) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: CO 230543) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |