# ORCHARD PARK NURCING AND REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922330158
- **Authorized official:** MR. BENNETT T COUSLAND (COTA)
- **Authorized official phone:** (720) 435-4044

## Contact information

- **Practice address:** 2217 CHEYENNE ST, GOLDEN, CO 80401-2338
- **Practice address phone:** (720) 435-4044
- **Mailing address:** 2217 CHEYENNE ST, GOLDEN, CO 80401-2338
- **Mailing address phone:** (720) 435-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1043282 | CO | Yes |

## Other

- **Enumeration date:** 02/14/2010
- **Last updated:** 02/14/2010