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Organization
PARK FOREST CARE CENTER INC
Active
Organization
PARK FOREST CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY JEAN DE LA GARZA LICENSED 2116 (NURSING HOME ADMINISTRATOR)
(303) 427-7045
Entity
Organization
Contact information
Practice address
7045 STUART ST, WESTMINSTER, CO 80030-5820
(303) 427-7045
(303) 427-0023
Mailing address
7045 STUART ST, WESTMINSTER, CO 80030-5820
(303) 427-7045
(303) 427-0023
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05651757
—
CO
Enumeration date
11/21/2005
Last updated
08/22/2020
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