Organization
CARLA'S CLUSTER CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY G MARTIN (CFO)
(719) 775-9412
Entity
Organization
Contact information
Practice address
1750 CIRCLE LANE, LIMON, CO 80828-2114
(719) 775-9031
(719) 775-8775
Mailing address
2050 6TH STREET, LIMON, CO 80828-2114
(719) 775-9412
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23L627
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23L627
—
CO
Enumeration date
10/17/2016
Last updated
10/17/2016
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