Castle Rock Assisted Living Ii, LLC
NPI #1164070389 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1164070389
- Entity Type
- Organization
- Organization Name
- Castle Rock Assisted Living Ii, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 30, 2019
- Last Updated
- Aug 30, 2019
Practice Location
- Address
- 1768 ROSE PETAL LN
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80109-3588
- Phone
- (303) 815-9347
Authorized Official
- Name
- MR. JAIME ENRIQUES SEPULVEDA
- Title
- OWNER
- Phone
- (303) 710-9088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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