# CHEYENNE VILLAGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174652903
- **Authorized official:** MRS. B. JEANNE SOLZE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (719) 592-0200

## Contact information

- **Practice address:** 183 CRYSTAL PARK RD, CABIN MARSHALL, MANITOU SPRINGS, CO 80829-2651
- **Practice address phone:** (719) 685-5252
- **Mailing address:** 6275 LEHMAN DR, COLORADO SPRINGS, CO 80918-1433
- **Mailing address phone:** (719) 592-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 0389 | CO | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09140302 | — | CO |