Organization
CHANCELLOR HEALTH CARE OF COLORADO, LLC
Active
Other names
Devonshire Acres
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA J KAISER NHA (ADMINISTRATOR)
(970) 522-4888
Entity
Organization
Contact information
Practice address
1330 SIDNEY AVE, STERLING, CO 80751-2241
(970) 522-4888
Mailing address
1330 SIDNEY AVE, STERLING, CO 80751-2241
(970) 522-4888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
04181962
CO
313M00000X
Nursing Facility/Intermediate Care Facility
05652250
CO
314000000X
Skilled Nursing Facility
05652250
CO
314000000X
Skilled Nursing Facility
Primary
065150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181962
—
CO
05
—
05652250
—
CO
Enumeration date
09/14/2005
Last updated
01/13/2012
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