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Ioof Grand Lodge Of Colorado
Assisted Living Facility in Canon City, Colorado
NPI 1073754693

Ioof Grand Lodge Of Colorado is an Assisted Living Facility based in Canon City, CO. Ioof Grand Lodge Of Colorado practices in Canon City, CO. The NPI Number for Ioof Grand Lodge Of Colorado is 1073754693 and holds a License No. 23C967 (Colorado).

The current practice location address for Ioof Grand Lodge Of Colorado is 1020 N 15Th St, Canon City, CO and can be reached out via phone at 719-275-7451. You can also correspond with Ioof Grand Lodge Of Colorado through the mailing address at 1545 PHELPS AVE, CANON CITY, CO - 81212-4650 (mailing address contact number: 719-275-7451).

Location: 1020 N 15Th St, Canon City, CO, 81212-4650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073754693
Provider Name
Ioof Grand Lodge Of Colorado
Credential
Provider Entity Type
Organization
Address
1020 N 15Th St, Canon City, CO, 81212-4650
Phone Number
719-275-7451
Fax Number
Provider Enumeration Date
03/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23C967 05 CO
institution
Provider Business Practice Location Address Details
Address
1020 N 15Th St
City
Canon City
State
Colorado
Zip
81212-2344
Phone Number
719-275-7451
Fax Number
person
Provider Business Mailing Address Details
Address
1545 Phelps Ave
City
Canon City
State
Colorado
Zip
81212-4650
Phone Number
719-275-7451
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
23C967 (Colorado)
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.
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