Organization
RED CANYON VILLAGE LLC
Active
Other names
Progressive Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ESSARY (AUTHORIZED INDIVIDUAL)
(303) 952-9216
Entity
Organization
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2311
(719) 285-2540
Mailing address
2668 NORTHPARK DR, LAFAYETTE, CO 80026-3199
(303) 952-9216
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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