| Total Life Care, Llc | |
|
4491 Bent Bros. Blvd Colorado City CO 81019 | |
| (719) 676-2273 | |
| (719) 676-3297 |
| Full Name | Total Life Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4491 Bent Bros. Blvd, Colorado City, Colorado |
| Authorized Official Name and Position | Grady King Snyder (OWNER/PROVIDER) |
| Authorized Official Contact | 7196762273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Care, Llc Po Box 19873 Colorado City CO 81019-0873 Ph: (719) 676-2273 | Total Life Care, Llc 4491 Bent Bros. Blvd Colorado City CO 81019 Ph: (719) 676-2273 |
| NPI Number | 1679516348 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679516348 | NPI | - | NPPES |
| 59422548 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Parkview Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4491 Bent Brothers Blvd, Colorado City, CO 81019 Phone: 719-595-7525 Fax: 719-595-7965 |