Ioof Grand Lodge of Colorado
Ioof Grand Lodge of Colorado is an Assisted Living Facility in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2009.
- Licensed in
- CO
- In the registry since
- 2009
Practice location Address checks out
1020 N 15th StCanon City, CO 81212-2344
Phone: (719) 275-7451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 23C967 (CO) |
|---|
Record details
| NPI number | 1073754693 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dennis Prather — Executive Director · (719) 275-7451 |
| Other names | Friendship House At The Home |
| NPI enumerated | March 11, 2009 |
| Last updated in NPPES | March 11, 2009 |
| Mailing address | 1545 Phelps Ave, Canon City, CO 81212-4650 |
Other providers in Canon City
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Legacy Center LLC
1335 Bauer Ln, Canon City, CO 81212-4670 · (719) 275-2917