NPI 1174037006
Golden Gate Manor INC
Practice location
- Address
- 1033 E Evans Ave, Pueblo, CO 81004-2538
- Phone
- (719) 369-6290
- Mailing address
- 1337 W Abriendo Ave, Pueblo, CO 81004-1005
Authorised official
- Name
- Mark Harriman
- Title
- President
- Phone
- (719) 369-6290
Registered specialties (2)
Assisted Living Facility
Primary
Respite Care
Registry record
- NPI
- 1174037006
- Entity type
- Organization
- NPI issued
- 30 Nov 2017
- Record last updated
- 30 Nov 2017
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.