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RED CANYON VILLAGE LLC 1629745419

Overview
Name: RED CANYON VILLAGE LLC Specialty: Respite Care Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Respite Care Facility Classification: Respite Care Specialization: . Definition of Specialty: Definition to come.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: RED CANYON VILLAGE LLC,1338 PHAY AVE,CANON CITY,CO,812122311,US Mailing Address: RED CANYON VILLAGE LLC,2668 NORTHPARK DR,LAFAYETTE,CO,800263199,US
Contact #
Practice location phone #: 7192852540 Practice location fax #: Mailing address Phone #: 3039529216 Mailing Address fax #: Authorized official Name/Telephone #:KATIE, ESSARY, AUTHORIZED INDIVIDUAL 3039529216
Misc
Date NPI was obtained: 08/27/2021 Last data data was updated: 08/27/2021 Insurances:

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