OrganizationActive
1111 Bonforte Opco, LLC
NPI 1669807731 · Assisted Living Facility · Pueblo, CO
Provider details
- NPI number
- 1669807731
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Dean Kiklis, Cfo
Practice location
855 Hunter Dr
Pueblo, CO 81001-1867
Phone: (719) 545-5911
Fax: (719) 253-3709
Mailing address
2668 Northpark Dr
Lafayette, CO 80026-3199
Registry dates
- Enumerated
- 2013-09-09
- Last updated
- 2013-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.