institution
Shadow Mountain Management
Respite Care in Canon City, Colorado
NPI 1780198598

Shadow Mountain Management is a Respite Care based in Canon City, CO. Shadow Mountain Management practices in Canon City, CO. The NPI Number for Shadow Mountain Management is 1780198598 and holds a License No. 020666 (Colorado).

The current practice location address for Shadow Mountain Management is 1401 Phay Ave, Canon City, CO and can be reached out via phone at 719-275-8656 and via fax at 719-275-8858. You can also correspond with Shadow Mountain Management through the mailing address at 1401 PHAY AVE, CANON CITY, CO - 81212-2303 (mailing address contact number: 719-275-8656).

Location: 1401 Phay Ave, Canon City, CO, 81212-2303
institution
Provider Profile Details
NPI Number
1780198598
Provider Name
Shadow Mountain Management
Credential
Provider Entity Type
Organization
Address
1401 Phay Ave, Canon City, CO, 81212-2303
Phone Number
719-275-8656
Fax Number
719-275-8858
Provider Enumeration Date
12/01/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 Phay Ave
City
State
Zip
81212-2303
Phone Number
719-275-8656
Fax Number
719-275-8858
person
Provider Business Mailing Address Details
Address
1401 Phay Ave
City
State
Zip
81212-2303
Phone Number
719-275-8656
Fax Number
719-275-8858
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
020666 (Colorado)
Definition
Definition to come.
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