Organization
KIOWA COUNTY
Active
Organization
KIOWA COUNTY
Active
Other names
Prairie Pines Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA SUE WEIRICH (ADMINISTRATOR)
(719) 438-2141
Entity
Organization
Contact information
Practice address
101 E LOWELL AVENUE, EADS, CO 81036-0787
(719) 438-2141
(719) 438-2140
Mailing address
BOX 787, 101 E LOWELL AVENUE, EADS, CO 81036-0787
(719) 438-2141
(719) 438-2140
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL0992
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28621786
—
CO
Enumeration date
02/09/2007
Last updated
08/22/2020
Update your record
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