Villa Grove Assisted Living Home

NPI #1003273053 in Pueblo, Colorado

Provider Information

NPI Number
1003273053
Entity Type
Organization
Organization Name
Villa Grove Assisted Living Home
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 21, 2016
Last Updated
Jan 21, 2016

Practice Location

Address
715 E B ST
City
Pueblo
ZIP Code
81003-3504
Phone
(719) 544-1561

Authorized Official

Name
PAUL SPICOLA
Title
VICE-PRESIDENT
Phone
(719) 369-4567

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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