Organization
TRIPLE RRR
Active
Other names
Eddie's House
Organization subpart
No
Provider details
NPI number
Authorized official
ROZELLE CAWTHORN (OWNER/ADMIN)
(720) 301-1369
Entity
Organization
Contact information
Practice address
1724 SPRUCE ST, PUEBLO, CO 81004-3333
(719) 560-9415
(719) 696-9103
Mailing address
1724 SPRUCE ST, PUEBLO, CO 81004-3333
(719) 560-9415
(719) 696-9103
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
09/29/2021
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