Whalio Doctors

NPI 1174037006

Golden Gate Manor INC

Organisation Assisted Living Facility Pueblo, CO

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
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 230667 (CO)
Respite Care
Respite Care Facility Taxonomy 385H00000X Licence 230667 (CO)

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.