Organization
PRAIRIE PINES
Active
Organization
PRAIRIE PINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S WATTS (ADMINISTRATOR)
(719) 438-2141
Entity
Organization
Contact information
Practice address
101 E LOWELL AVE, EADS, CO 81036
(719) 438-2141
(719) 438-2140
Mailing address
PO BOX 787, 101 E LOWELL AVE, EADS, CO 81036-0787
(719) 438-2141
(719) 438-2140
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
09781285
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09781285
—
CO
Enumeration date
06/27/2013
Last updated
06/27/2013
Update your record
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