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Organization
PARENT CARE LIFE INC.
Active
Organization
PARENT CARE LIFE INC.
Active
Other names
Crestview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY LEE SIMPSON (OWNER)
(719) 473-6339
Entity
Organization
Contact information
Practice address
1410 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909-2825
(719) 473-6339
(719) 488-9301
Mailing address
1409 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909-2824
(719) 473-6339
(719) 488-9301
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL-0310
CO
311ZA0620X
Adult Care Home Facility
AL-0311
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24301272
—
CO
05
—
47256362
—
CO
Enumeration date
04/25/2007
Last updated
08/22/2020
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