Organization
PACIFICA SENIOR LIVING RE FUND LLC
Active
Other names
Sopris Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR COST REPORTING)
(720) 974-6278
Entity
Organization
Contact information
Practice address
295 RIO GRANDE AVE, CARBONDALE, CO 81623-1704
(970) 340-4444
(970) 510-5140
Mailing address
295 RIO GRANDE AVE, CARBONDALE, CO 81623-1704
(970) 340-4444
(970) 510-5140
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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