1111 BONFORTE OPCO LLC NPI 1669807731

NPI Information

1111 BONFORTE OPCO, LLC 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. 1111 BONFORTE OPCO, LLC NPI is 1669807731. The provider is registered as an organization entity type.
The provider Is Doing Business As Villa Pueblo Assisted Living.

The provider's business location address is:

855 HUNTER DR
PUEBLO, CO
ZIP 81001-867
Phone: (719) 545-5911
Fax: (719) 253-3709

The provider's authorized official is Dean Kiklis .
The authorized official title is Cfo and has the following contact phone number (303) 952-9216.

The enumeration date for this NPI number is 9/9/2013 and was last updated on 9/26/2013.

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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