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Castle Rock Assisted Living II, LLC

Assisted Living Facility in Castle Rock, CO. Organization (NPI-2).

NPI number1164070389
StatusActive
Last updated in NPPESAug 30, 2019

Details

NPI
1164070389
Entity type
Organization (NPI-2)
Legal business name
Castle Rock Assisted Living II, LLC
Organization subpart
No
Enumeration date
Aug 30, 2019
Last updated
Aug 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

1768 Rose Petal Ln
Castle Rock, CO 80109-3588

Phone 303-815-9347

Mailing address

1768 Rose Petal Ln
Castle Rock, CO 80109-3588

Phone 303-815-9347

Authorized official

Jaime Enriques Sepulveda
Owner
3037109088

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