Organization
CASTLE COUNTRY ASSISTED LIVING, INC.
Active
Other names
Cantril House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA D DICE R.N. (EXECUTIVE DIRECTOR)
(303) 380-1338
Entity
Organization
Contact information
Practice address
221 CANTRIL ST, CASTLE ROCK, CO 80104-2605
(303) 688-8186
(303) 660-2269
Mailing address
255 S VALLEY DR, CASTLE ROCK, CO 80104-2911
(303) 814-0668
(303) 814-0667
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181772
—
CO
Enumeration date
04/07/2008
Last updated
04/07/2008
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