Villa Grove Assisted Living

NPI #1316302664 in Pueblo, Colorado

Provider Information

NPI Number: 1316302664
Entity Type: Organization
Organization Name: Villa Grove Assisted Living
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Dec 30, 2015
Last Updated: Dec 30, 2015

Practice Location

Address: 403 W 13TH ST
City: Pueblo
State: Colorado
ZIP Code: 81003-2748
Phone: (719) 543-0305

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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