1111 BONFORTE OPCO, LLC
Organization (NPI-2)
Active
Assisted Living Facility
Provider Information
- NPI Number
1669807731- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 855 HUNTER DR, PUEBLO, CO, 810011867
- Phone
- (719) 545-5911
- Fax
- (719) 253-3709
Specialties & Taxonomies
Assisted Living Facility
Primary