OrganizationActive
Poet'S Glade
NPI 1245526458 · Voluntary or Charitable Agency · Buena Vista, CO
Provider details
- NPI number
- 1245526458
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donald Carroll, Director(832) 622-3766
- License
- 32043043572 (TX)
Specialties & taxonomies
Agencies
Practice location
18065 Rio Hondo Dr
Buena Vista, CO 81211-9126
Phone: (832) 622-3766
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 875
Buena Vista, CO 81211-0875
Registry dates
- Enumerated
- 2011-06-26
- Last updated
- 2011-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.