Organization
PARENT CARE LIFE INC.
Active
Other names
Crestview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY LEE SIMPSON (OWNER)
(719) 473-6339
Entity
Organization
Contact information
Practice address
1410 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909-2825
(719) 473-6339
(719) 488-9301
Mailing address
1409 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909-2824
(719) 473-6339
(719) 488-9301
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL-0310
CO
311ZA0620X
Adult Care Home Facility
AL-0311
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24301272
—
CO
05
—
47256362
—
CO
Enumeration date
04/25/2007
Last updated
08/22/2020
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