Organization
ROCK CANYON HEALTHCARE LLC
Active
Other names
The Villas at Rock Canyon
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1611 ALMA AVE, PUEBLO, CO 81004-2609
(719) 564-0550
(719) 404-1030
Mailing address
1611 ALMA AVE, PUEBLO, CO 81004-2609
(719) 564-0550
(719) 404-1030
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
CO
Enumeration date
11/06/2014
Last updated
08/29/2022
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