Organization
LA JUNTA LTC INVESTORS
Active
Other names
Evergreen Gardens at La Junta
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KANEN (CFO)
(719) 589-2063
Entity
Organization
Contact information
Practice address
909 W 10TH ST, LA JUNTA, CO 81050-2168
(719) 384-9333
(719) 384-9393
Mailing address
2415 MULLINS AVE, SUITE 4, ALAMOSA, CO 81101-4274
(719) 589-2063
(719) 589-8891
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-0239
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03805565
—
CO
Enumeration date
03/29/2006
Last updated
08/22/2020
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