| NPI | 1871084574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CARTER WELLS Administrator 719-778-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23062L) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |