Organization Name: | CARLA'S CLUSTER CARE, INC |
NPI Number: | 1235259102 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARVEY G MARTIN (CHEIF FINIANCIAL OFFICER) |
Mailing Address: | 2050 6th St Limon |
State: | CO US |
Postal Code: | 808282114 |
Phone Number: | 7197759412 |
Fax Number: | 7197759426 |
NPI Enumeration Date: | 04/01/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL-0688 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |