Organization
GARDEN OF THE GODS SENIOR LIVING LLC
Active
Other names
Garden of the Gods Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD R LAFONT NHA (NHA DIRECTOR OF COLORADO OPERATIONS)
(303) 688-3174
Entity
Organization
Contact information
Practice address
104 LOIS LANE, COLORADO SPRINGS, CO 80904
(719) 635-2569
(719) 635-2530
Mailing address
104 LOIS LANE, COLORADO SPRINGS, CO 80904
(719) 635-2569
(719) 635-2530
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
020533
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34620885
—
CO
Enumeration date
02/26/2010
Last updated
05/13/2011
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