Organization
NICOLL HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS WILLIAM NICOLL (PRESIDENT/CEO)
(719) 380-7381
Entity
Organization
Contact information
Practice address
2204 OAKRIDGE LN, COLORADO SPRINGS, CO 80915-1017
(719) 380-7391
(719) 487-9530
Mailing address
PO BOX 61085, COLORADO SPRINGS, CO 80960-1085
(719) 380-7381
(719) 487-9530
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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