Individual
ANDREW RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5075 SADDLE DR, COLORADO SPRINGS, CO 80918-3627
(719) 260-9121
(719) 260-9122
Mailing address
7640 AUTUMN KNOLL DR, COLORADO SPRINGS, CO 80922-2101
(719) 260-9121
(719) 260-9122
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
230557
CO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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