Organization · Type 2 NPI
Golden Gate Manor Inc
Assisted Living Facility · Pueblo, CO
NPI number
1821502964
Active
Practice location
2109 Chautard Dr
Pueblo, CO 81005-2612
Mailing address
1337 W Abriendo Ave
Pueblo, CO 81004-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 230663 (CO) |
| Respite Care | 385H00000X | 230663 (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.
Another provider at this address
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About NPI 1821502964
Golden Gate Manor Inc's National Provider Identifier is 1821502964, issued on Nov 28, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 28, 2017.