Organization
PARENT CARE LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY LEE SIMPSON (ADMINISTRATOR)
(719) 473-6339
Entity
Organization
Contact information
Practice address
1209 E CARAMILLO ST, COLORADO SPRINGS, CO 80909-2857
(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
230543
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90000143353
HCPF PROVIDER ID
CO
Enumeration date
03/21/2017
Last updated
08/30/2022
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