Organization
PEACHTREE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE ORIBELLO (ADMINISTRATOR/OWNER)
(970) 434-7062
Entity
Organization
Contact information
Practice address
3450 F RD, CLIFTON, CO 81520-8433
(970) 434-7062
(970) 434-0485
Mailing address
3450 F RD, CLIFTON, CO 81520-8433
(970) 434-7062
(970) 434-0485
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143186
—
CO
05
—
9000143187
—
CO
Enumeration date
10/10/2018
Last updated
01/28/2021
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