Organization
VILLA GROVE ASSISTED LIVING HOME
Active
Other names
JOHNSON ASSISTED LIVING HOME, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SPICOLA (VICE-PRESIDENT)
(719) 369-4567
Entity
Organization
Contact information
Practice address
715 E B ST, PUEBLO, CO 81003-3504
(719) 544-1561
(719) 542-6539
Mailing address
715 E B ST, PUEBLO, CO 81003-3504
(719) 544-1561
(719) 542-6539
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23W276
CO
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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