Organization
PARENT CARE LIFE INC.
Active
Other names
MapleGrove East at Crestview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY LEE SIMPSON (ADMINISTRATOR)
(719) 473-6339
Entity
Organization
Contact information
Practice address
1417 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909-2824
(719) 473-6339
(719) 448-9301
Mailing address
1414 N HANCOCK AVE, COLORADO SPRINGS, CO 80903-2655
(719) 473-6339
(719) 448-9301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23G509
CO
311Z00000X
Custodial Care Facility
23G509
CO
311ZA0620X
Adult Care Home Facility
23G509
CO
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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