# PARENT CARE LIFE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestview
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790904092
- **Authorized official:** MR. RICKY LEE SIMPSON (OWNER)
- **Authorized official phone:** (719) 473-6339

## Contact information

- **Practice address:** 1410 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909-2825
- **Practice address phone:** (719) 473-6339
- **Practice address fax:** (719) 488-9301
- **Mailing address:** 1409 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909-2824
- **Mailing address phone:** (719) 473-6339
- **Mailing address fax:** (719) 488-9301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | AL-0310 | CO | Yes |
| 311ZA0620X | Adult Care Home Facility | AL-0311 | CO | — |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 24301272 | — | CO |
| 05 | — | 47256362 | — | CO |