Organization
CHEYENNE VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY L DICE (CFO)
(719) 572-7447
Entity
Organization
Contact information
Practice address
4270 PEARL DR # 4280, COLORADO SPRINGS, CO 80918-2751
(719) 536-9763
Mailing address
6275 LEHMAN DR, COLORADO SPRINGS, CO 80918-1433
(719) 592-0200
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0620
CO
Other
Enumeration date
03/05/2007
Last updated
07/15/2021
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