Golden Gate Manor INC

NPI #1174037006 in Pueblo, Colorado

Provider Information

NPI Number
1174037006
Entity Type
Organization
Organization Name
Golden Gate Manor INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Nov 30, 2017
Last Updated
Nov 30, 2017

Practice Location

Address
1033 E EVANS AVE
City
Pueblo
ZIP Code
81004-2538
Phone
(719) 369-6290

Authorized Official

Name
MARK HARRIMAN
Title
PRESIDENT
Phone
(719) 369-6290

Specialties & Taxonomy Codes

Specialty
Respite Care
Assisted Living Facility

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