C-c Boarding Home

NPI 1093917098 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1093917098
Enumeration Date 06/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RAMON RAMON
Position TREASURER
Phone (719) 635-7159
Fax (719) 392-5723
Practice Location
412 S HANCOCK AVE
COLORADO SPRINGS CO, 80903-3700, US
Phone (719) 635-7159
Fax (719) 392-5723
Business Location
412 S HANCOCK AVE
COLORADO SPRINGS CO, 80903-3700, US
Phone (719) 635-7159
Fax (719) 392-5723
Toxanomy
Taxonomy Code 3104A0625X
License State Colorado
License Number AL-0012
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According to our database, C-c Boarding Home NPI is 1093917098, taxonomy code is 3104A0625X and license number is AL-0012, license state is located at Colorado. C-c Boarding Home physically located at 412 S Hancock Ave, Colorado Springs CO, 80903-3700. NPI Number 1033115704 has the healthcare provider type.

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1093917098 NPI number is provided on an as is basis without warranty of any kind. 1093917098 is maintained by the National Plan & Provider Enumeration System. The contents of C-c Boarding Home are for informational purposes only.