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P.A.L'S ACF & DAY PROGRAM

Assisted Living, Mental Illness

Pueblo, Colorado

Provider NPI: 1043484140

Organization Information:
Organization Name:  P.A.L'S ACF & DAY PROGRAM


Practice Location:
232 BROADWAY AVE  PUEBLO, CO 81004 US
Tel: 719-543-4108  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
04141875CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS CO - Page 1