Organization
TRINITY LIFE GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISS PRADO RN (EXECUTIVE DIRECTOR)
(719) 406-5288
Entity
Organization
Contact information
Practice address
2430 OAKSHIRE LN, PUEBLO, CO 81001-5655
(719) 542-2223
(719) 586-9256
Mailing address
2430 OAKSHIRE LN, PUEBLO, CO 81001-5655
(719) 542-2223
(719) 586-9256
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2306B3
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79232051
—
CO
Enumeration date
10/19/2015
Last updated
10/19/2015
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