Organization
GRAYCO,INC.
Active
Organization
GRAYCO,INC.
Active
Other names
Gray Cara West
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BAER (OWNER)
(970) 330-5133
Entity
Organization
Contact information
Practice address
3705 CARSON AVE, EVANS, CO 80620-2501
(970) 330-5133
(970) 330-4286
Mailing address
3705 CARSON AVE, EVANS, CO 80620-2501
(970) 330-5133
(970) 330-4286
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
230374
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13578529
—
CO
Enumeration date
04/16/2007
Last updated
08/22/2020
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