# CHEYENNE VILLAGE, INC.

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

## Provider details

- **NPI number:** 1871622738
- **Authorized official:** MS. MARY L DICE (CFO)
- **Authorized official phone:** (719) 572-7447

## Contact information

- **Practice address:** 4270 PEARL DR \# 4280, COLORADO SPRINGS, CO 80918-2751
- **Practice address phone:** (719) 536-9763
- **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 | 0620 | CO | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 07/15/2021