Organization
RIO BLANCO COUNTY NURSING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEELAN DIANE BANTA R.N. (DIRECTOR)
(970) 878-9525
Entity
Organization
Contact information
Practice address
209 E MAIN ST, RANGELY, CO 81648-3048
(970) 878-9525
(970) 675-8250
Mailing address
209 E MAIN ST, RANGELY, CO 81648-3048
(970) 878-9525
(970) 675-8250
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
45560
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07466503
—
CO
Enumeration date
04/27/2006
Last updated
08/22/2020
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