# CHEYENNE MOUNTAIN CARE AND REHAB

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

## Provider details

- **NPI number:** 1417295031
- **Authorized official:** MS. MARTHA BRUNETTE (REGIONAL SENIOR SUPERVISOR)
- **Authorized official phone:** (303) 328-7888

## Contact information

- **Practice address:** 835 TENDERFOOT HILL RD, COLORADO SPRINGS, CO 80906-3903
- **Practice address phone:** (719) 576-1060
- **Mailing address:** 835 TENDERFOOT HILL RD, COLORADO SPRINGS, CO 80906-3903
- **Mailing address phone:** (719) 576-1060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | — | Yes |
| 385H00000X | Respite Care | — | CO | — |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 06/22/2017