Provider Demographics
NPI:1811522071
Name:TRIANGLE CROSS RANCH
Entity type:Organization
Organization Name:TRIANGLE CROSS RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PARCESEPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-999-4119
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:GALETON
Mailing Address - State:CO
Mailing Address - Zip Code:80622-0727
Mailing Address - Country:US
Mailing Address - Phone:970-454-2219
Mailing Address - Fax:
Practice Address - Street 1:36049 CO RD 51
Practice Address - Street 2:
Practice Address - City:GALETON
Practice Address - State:CO
Practice Address - Zip Code:80622
Practice Address - Country:US
Practice Address - Phone:970-454-2219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness