Organization
CARLA'S CLUSTER CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARVEY G MARTIN (CHEIF FINIANCIAL OFFICER)
(719) 740-8732
Entity
Organization
Contact information
Practice address
2050 6TH ST, LIMON, CO 80828-2114
(719) 775-9412
(719) 775-9426
Mailing address
2050 6TH ST, LIMON, CO 80828-2114
(719) 775-9412
(719) 775-9426
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0688
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56388837
—
CO
Enumeration date
04/01/2007
Last updated
08/22/2020
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