Willow Crest, INC.
Assisted Living Facility in Colorado Springs, CO. Organization (NPI-2).
NPI number1316005234
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1316005234
- Entity type
- Organization (NPI-2)
- Legal business name
- Willow Crest, INC.
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | AL-0908 | CO | Yes |
Other names
- Crestview Manor, INC. (Doing Business As)
Practice location
1410 E. Buena Ventura St.Colorado Springs, CO 80909-2825
Phone 719-473-6339 · Fax 719-448-9301
Mailing address
1410 E. Buena Ventura St.Colorado Springs, CO 80909-2825
Phone 719-473-6339 · Fax 719-448-9301
Authorized official
Karl D. Schmidt
Pesident
7194736339
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