NPI 1003273053

Villa Grove Assisted Living Home

Organisation Assisted Living Facility Pueblo, CO

Practice location

Address: 715 E B St, Pueblo, CO 81003-3504
Phone: (719) 544-1561
Fax: (719) 542-6539

Authorised official

Name: Paul Spicola
Title: Vice-President
Phone: (719) 369-4567

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 23W276 (CO)

Other Assisted Living Facility providers in Colorado →

Registry record

NPI: 1003273053
Entity type: Organization
NPI issued: 21 Jan 2016
Record last updated: 21 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.