Organization
VILLA GROVE ASSISTED LIVING HOME
Active
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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