Organization
BETHESDA FOUNDATION
Active
Other names
Broadmoor Court
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CALLENDER (SR. VICE PRESIDENT)
(719) 481-5481
Entity
Organization
Contact information
Practice address
2045 ROANOKE ST, COLORADO SPRINGS, CO 80906-3451
(719) 471-2285
(719) 634-0491
Mailing address
2045 ROANOKE ST, COLORADO SPRINGS, CO 80906-3451
(719) 471-2285
(719) 634-0491
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL0057
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72657511
—
CO
Enumeration date
02/08/2007
Last updated
08/22/2020
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