KIOWA COUNTY NPI 1114068442

NPI Information

KIOWA COUNTY is an assisted living facility in Eads, 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. KIOWA COUNTY NPI is 1114068442. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Pines Assisted Living Community.

The provider's business location address is:

101 E LOWELL AVENUE
EADS, CO
ZIP 81036-787
Phone: (719) 438-2141
Fax: (719) 438-2140

The provider's authorized official is Pamela Sue Weirich .
The authorized official title is Administrator and has the following contact phone number (719) 438-2141.

The CLIA number assigned to this NPI record is 06D2207037 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.

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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