CASTLE COUNTRY ASSISTED LIVING INC. NPI 1093988412

NPI Information

CASTLE COUNTRY ASSISTED LIVING, INC. is an assisted living facility in Castle Rock, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CASTLE COUNTRY ASSISTED LIVING, INC. NPI is 1093988412. The provider is registered as an organization entity type.
The provider Other Name Is Cantril House.

The provider's business location address is:

221 CANTRIL ST
CASTLE ROCK, CO
ZIP 80104-605
Phone: (303) 688-8186
Fax: (303) 660-2269

The provider's authorized official is Barbara D Dice .
The authorized official title is Executive Director and has the following contact phone number (303) 380-1338.

The CLIA number assigned to this NPI record is 06D2231735 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 4/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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