Organization
COMMUNITY ASSISTED LIVING, INC
Active
Other names
Cottonwood Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KANEN (CFO)
(719) 589-2063
Entity
Organization
Contact information
Practice address
1122 S 12TH ST, ROCKY FORD, CO 81067-2400
(719) 854-3667
(719) 254-3823
Mailing address
2415 MULLINS AVE, SUITE 4, ALAMOSA, CO 81101-4274
(719) 589-2063
(719) 589-8891
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7173825
—
CO
Enumeration date
03/29/2006
Last updated
08/22/2020
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