NPI: 1316302664
Provider Name: VILLA GROVE ASSISTED LIVING
Doing Business As: JOHNSON HOME ASSISTED LIVING, INC.
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
403 W 13TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 543-0305
Get Directions
VILLA GROVE ASSISTED LIVING is an assisted living and mental illness assisted living facility in Pueblo, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. VILLA GROVE ASSISTED LIVING NPI is 1316302664. The provider is registered as an organization entity type.
The provider Is Doing Business As Johnson Home Assisted Living, Inc..
The provider's business location address is:
403 W 13TH ST
PUEBLO, CO
ZIP 81003-748
Phone: (719) 543-0305
Fax: (719) 562-9684
The provider's authorized official is Paul Spicola .
The authorized official title is Vice-president and has the following contact phone number (719) 369-4567.
The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.