Pueblo West Assisted Living, LLC
NPI #1649231648 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1649231648
- Entity Type
- Organization
- Organization Name
- Pueblo West Assisted Living, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 170 S DACONA DR
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-5403
- Phone
- (719) 547-2538
Authorized Official
- Name
- DONALD KANEN
- Title
- CFO
- Phone
- (719) 589-2063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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