Organization
GARDEN RANCH LLC
Active
Organization
GARDEN RANCH LLC
Active
Other names
Garden Ranch Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSA RICHARDSON (OWNER/ADMINISTRATOR)
(719) 920-0166
Entity
Organization
Contact information
Practice address
5075 SADDLE DR, COLORADO SPRINGS, CO 80918-3627
(719) 260-9121
Mailing address
5075 SADDLE DR, COLORADO SPRINGS, CO 80918-3627
(719) 260-9121
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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