Organization
RESIDENCE AT VILLAGE GREEN, LLC
Active
Organization
RESIDENCE AT VILLAGE GREEN, LLC
Active
Other names
Residence at Village Green
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J MATRAZZO J.D. (CHIEF OPERATING OFFICER)
(305) 444-5007
Entity
Organization
Contact information
Practice address
3455 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO 80917-2809
(719) 999-5744
(719) 999-5721
Mailing address
3455 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO 80917-2807
(719) 999-5744
(719) 999-5721
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CO
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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