Organization
WSI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE TENORIO (CREDENTIALING COORDINATOR)
(719) 630-7500
Entity
Organization
Contact information
Practice address
8540 SCARBOROUGH DR, 200, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
8987 OAKMONT RD, PEYTON, CO 80831-4060
(719) 495-3910
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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