Organization
CASTLE COUNTRY ASSISTED LIVING, INC.
Active
Other names
Victorian House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA D DICE R.N. (EXECUTIVE DIRECTOR)
(303) 380-1338
Entity
Organization
Contact information
Practice address
19600 VICTORIAN DR, PARKER, CO 80138-3818
(303) 805-9866
(303) 805-1857
Mailing address
255 S VALLEY DR, CASTLE ROCK, CO 80104-2911
(303) 805-9866
(303) 805-1857
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57677832
—
CO
Enumeration date
04/07/2008
Last updated
04/07/2008
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