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CHEYENNE VILLAGE, INC.

Adult Care Home

Manitou Springs, Colorado

Provider NPI: 1174652903

Organization Information:
Organization Name:  CHEYENNE VILLAGE, INC.


Practice Location:
183 CRYSTAL PARK RD CABIN MARSHALL MANITOU SPRINGS, CO 80829 US
Tel: 719-685-5252  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
CO0389

Other Provider Identifiers:

IssuerNumberStateType
09140302CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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