Organization · Type 2 NPI

Villa Grove Assisted Living Home

Assisted Living Facility · Pueblo, CO

NPI number 1003273053 Active

Practice location

715 E B St
Pueblo, CO 81003-3504

Call (719) 544-1561 Map

Fax (719) 542-6539

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X23W276 (CO)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1003273053

Villa Grove Assisted Living Home's National Provider Identifier is 1003273053, issued on Jan 21, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pueblo, CO. The record was last updated on Jan 21, 2016.