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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