Garden Ranch LLC
NPI #1376142117 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1376142117
- Entity Type
- Organization
- Organization Name
- Garden Ranch LLC
- Primary Specialty
- Registered Nurse - Administrator
- Enumeration Date
- Oct 22, 2020
- Last Updated
- Oct 22, 2020
Practice Location
- Address
- 5075 SADDLE DR
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80918-3627
- Phone
- (719) 260-9121
Authorized Official
- Name
- CHARISSA RICHARDSON
- Title
- OWNER/ADMINISTRATOR
- Phone
- (719) 920-0166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Home Administrator |
| Registered Nurse - Administrator — Administrator |
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