Organization
THE MYRON STRATTON HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE K HARVEY (BUSINESS MANAGER)
(719) 579-0930
Entity
Organization
Contact information
Practice address
555 GOLD PASS HTS, COLORADO SPRINGS, CO 80906-3894
(719) 579-0930
(719) 579-0447
Mailing address
555 GOLD PASS HTS, COLORADO SPRINGS, CO 80906-3894
(719) 579-0930
(719) 579-0447
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL0968
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181756
—
CO
05
—
76554252
—
CO
Enumeration date
04/13/2007
Last updated
08/22/2020
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