IOOF GRAND LODGE OF COLORADO
Nursing at 15 St, Canon City, CO

License number
Colorado 23C967
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. DENNIS G PRATHER
Title: EXECUTIVE DIRECTOR
Phone: (719) 275-7451
Address
Address
1020 N 15Th St, Canon City, CO 81212
National Provider ID: 1073754693
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Ioof The Grand Lodge of Colorado Glen Jernigan Jurisdictional Lodge 0

1545 Phelps Ave, Canon City, CO 81212

Industry:
Civic/Social Association
Managers:
Douglas E. Pittman (Manager),Dennis G. Prather (Executive Director),William Chronic President, inactive,...

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