Organization
ASSISTED LIVING AT SPRING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDRA SETIAWAN SIAUW (ADMINISTRATOR)
(720) 934-4950
Entity
Organization
Contact information
Practice address
1605 JET WING DR, COLORADO SPRINGS, CO 80916-2258
(719) 434-7042
(719) 434-8580
Mailing address
PO BOX 274, PARKER, CO 80134-0274
(720) 934-4950
(720) 420-1322
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23D512
CO
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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