# FORGETMENOT CARE HOME, INC.

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

## Provider details

- **NPI number:** 1760781538
- **Authorized official:** SUSAN GEBHART (PRESIDENT)
- **Authorized official phone:** (719) 372-0749

## Contact information

- **Practice address:** 9 S DORIS DR, FLORENCE, CO 81226-9447
- **Practice address phone:** (719) 372-0749
- **Practice address fax:** (719) 784-1395
- **Mailing address:** 9 S DORIS DR, FLORENCE, CO 81226-9447
- **Mailing address phone:** (719) 372-0749
- **Mailing address fax:** (719) 784-1395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 23U714 | CO | Yes |

## Other

- **Enumeration date:** 03/19/2011
- **Last updated:** 03/19/2011