Organization
COLORADO ASSISTED LIVING AT PTARMIGAN RUN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE MCREYNOLDS (OWNER)
(970) 227-9264
Entity
Organization
Contact information
Practice address
629 PTARMIGAN RUN, LOVELAND, CO 80538
(970) 593-0102
Mailing address
629 PTARMIGAN RUN, LOVELAND, CO 80538
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23V639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69058059
—
CO
Enumeration date
04/02/2008
Last updated
04/02/2008
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