Organization
RIO GRANDE INN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIANA SINGER (MANAGEMENT)
(970) 516-1404
Entity
Organization
Contact information
Practice address
39 CALLE MILLER, LA JARA, CO 81140-9756
(719) 274-3311
Mailing address
39 CALLE MILLER, LA JARA, CO 81140
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68409575
—
CO
Enumeration date
01/06/2016
Last updated
04/26/2021
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