Organization
BENEFICIAL LIVING SYSTEMS
Active
Other names
Garden of the Gods Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY M FISH (FINANCE MANAGER)
(602) 368-8203
Entity
Organization
Contact information
Practice address
104 LOIS LN, COLORADO SPRINGS, CO 80904-1320
(719) 635-2569
(719) 635-2530
Mailing address
3519 E SHEA BLVD, SUITE 133, PHOENIX, AZ 85028-3358
(602) 368-8203
(602) 368-8211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0375
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50709348
—
CO
05
—
95258736
—
CO
Enumeration date
01/25/2007
Last updated
08/22/2020
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