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CATHOLIC HEALTH INITIATIVES COLORADO

Adult Care Home

Canon City, Colorado

Provider NPI: 1518076462

Organization Information:
Organization Name:  CATHOLIC HEALTH INITIATIVES COLORADO


Practice Location:
1338 PHAY AVE  CANON CITY, CO 81212 US
Tel: 719-269-2122  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
CO

Other Provider Identifiers:

IssuerNumberStateType
04143558CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS CO - Page 1



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