06D2197783 CLIA NUMBER - BROOKDALE MONUMENT VALLEY PARK

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Laboratory Demographics

CLIA Number: 06D2197783

Facility Name: BROOKDALE MONUMENT VALLEY PARK

Facility Address:
10 W MONUMENT ST
COLORADO SPRINGS, CO
ZIP 80903
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Facility Phone Number: 719 635-6300

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1629766217

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	06D2197783
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE MONUMENT VALLEY PARK
Street	10 W MONUMENT ST
City	COLORADO SPRINGS
State	CO
ZIP	80903
Phone	719 635-6300
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024