Healthcare Provider Details

I. General information

NPI: 1114114097
Provider Name (Legal Business Name): LOVELAND HOUSE ASSISTED LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 EAGLE DR
LOVELAND CO
80537-6167
US

IV. Provider business mailing address

2115 EAGLE DR
LOVELAND CO
80537-6167
US

V. Phone/Fax

Practice location:
  • Phone: 970-663-2223
  • Fax: 970-663-5352
Mailing address:
  • Phone: 970-663-2223
  • Fax: 970-663-5352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberAL0389
License Number StateCO

VIII. Authorized Official

Name: MS. PATRICIA L STROZZI
Title or Position: OWNER/OPERATOR
Credential:
Phone: 970-663-2223