Organization
C-C BOARDING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON CASTILLO JR. (TREASURER)
(719) 635-7159
Entity
Organization
Contact information
Practice address
412 S HANCOCK AVE, COLORADO SPRINGS, CO 80903-3700
(719) 635-7159
(719) 392-5723
Mailing address
412 S HANCOCK AVE, COLORADO SPRINGS, CO 80903-3700
(719) 635-7159
(719) 392-5723
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL-0012
CO
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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