Organization
WILLCAT
Active
Organization
WILLCAT
Active
Other names
ivy cottage
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CATHERINE A HARTMAN OFFICER (OWNER/OPERATOR)
(719) 482-4731
Entity
Organization
Contact information
Practice address
2060 PIMA DR, COLORADO SPRINGS, CO 80915-1748
(719) 596-0076
(719) 380-0756
Mailing address
2060 PIMA DR, COLORADO SPRINGS, CO 80915-1748
(719) 596-0076
(719) 380-0756
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18553575
—
CO
Enumeration date
01/24/2008
Last updated
01/24/2008
Update your record
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