Villa Grove Assisted Living
Villa Grove Assisted Living is an Assisted Living Facility (Mental Illness) in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2015.
- Licensed in
- CO
- In the registry since
- 2015
Practice location Address checks out
403 W 13th StPueblo, CO 81003-2748
Phone: (719) 543-0305
Fax: (719) 562-9684
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X · Licence 230602 (CO) |
|---|
Record details
| NPI number | 1316302664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Spicola — Vice-President · (719) 369-4567 |
| Other names | Johnson Home Assisted Living, Inc. |
| NPI enumerated | December 30, 2015 |
| Last updated in NPPES | December 30, 2015 |
| Mailing address | 403 W 13th St, Pueblo, CO 81003-2748 |
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Johnson Home Assisted Living, Inc
403 W 13th St, Pueblo, CO 81003-2748 · (719) 543-0306
-
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