Provider Demographics
NPI:1619539657
Name:SOLANGE AT CLAIRTON, LLC
Entity Type:Organization
Organization Name:SOLANGE AT CLAIRTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ABIGAIL
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:719-985-0467
Mailing Address - Street 1:1900 E PIKES PEAK AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5862
Mailing Address - Country:US
Mailing Address - Phone:719-391-4444
Mailing Address - Fax:303-200-8554
Practice Address - Street 1:2951 CLAIRTON DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-4561
Practice Address - Country:US
Practice Address - Phone:303-284-5018
Practice Address - Fax:303-200-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-30
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility