Organization
PIKES PEAK SENIORCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS L ROTH (CEO)
(719) 572-6155
Entity
Organization
Contact information
Practice address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6179
(719) 572-6089
Mailing address
1644 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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