Organization · Type 2 NPI
Ioof Grand Lodge of Colorado
Assisted Living Facility · Canon City, CO
NPI number
1073754693
Active
Practice location
1020 N 15th St
Canon City, CO 81212-2344
Mailing address
1545 Phelps Ave
Canon City, CO 81212-4650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 23C967 (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.
Other assisted living facility providers in Canon City
About NPI 1073754693
Ioof Grand Lodge of Colorado's National Provider Identifier is 1073754693, issued on Mar 11, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Canon City, CO. The record was last updated on Mar 11, 2009.