GOLDEN GATE MANOR INC NPI 1417462185

NPI Information

GOLDEN GATE MANOR INC is an 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 assistance and/or monitoring to assure safety and well being. GOLDEN GATE MANOR INC NPI is 1417462185. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Gate Manor 2.

The provider's business location address is:

1219 LAKE AVE
PUEBLO, CO
ZIP 81004-845
Phone: (719) 369-6290

The provider's authorized official is Mark Harriman .
The authorized official title is President and has the following contact phone number (719) 369-6290.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 12/4/2017.

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:

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