Villa Grove Assisted Living Home
Villa Grove Assisted Living Home is an Assisted Living Facility in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2016.
- Licensed in
- CO
- In the registry since
- 2016
Practice location Address checks out
715 E B StPueblo, CO 81003-3504
Phone: (719) 544-1561
Fax: (719) 542-6539
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 23W276 (CO) |
|---|
Record details
| NPI number | 1003273053 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Spicola — Vice-President · (719) 369-4567 |
| Other names | Johnson Assisted Living Home, Inc. |
| NPI enumerated | January 21, 2016 |
| Last updated in NPPES | January 21, 2016 |
| Mailing address | 715 E B St, Pueblo, CO 81003-3504 |
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