NPI 1245526458

Poet's Glade

Organisation Voluntary or Charitable Agency Buena Vista, CO

Practice location

Address: 18065 Rio Hondo Dr, Buena Vista, CO 81211-9126
Phone: (832) 622-3766
Mailing address: PO Box 875, Buena Vista, CO 81211-0875

Authorised official

Name: Donald Christopher Carroll
Title: Director
Phone: (832) 622-3766

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence 32043043572 (TX)

Other Voluntary or Charitable providers in Colorado →

Registry record

NPI: 1245526458
Entity type: Organization
NPI issued: 26 Jun 2011
Record last updated: 26 Jun 2011

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.