Organization
QL-CAMBRIDGE CARE CENTER, LLC
Active
Other names
CAMBRIDGE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(303) 238-3838
Entity
Organization
Contact information
Practice address
1685 EATON ST, LAKEWOOD, CO 80214-1628
(303) 232-4405
(303) 232-0805
Mailing address
1685 EATON ST, LAKEWOOD, CO 80214-1628
(303) 232-4405
(303) 232-0805
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0355
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55754244
—
CO
Enumeration date
08/29/2005
Last updated
08/18/2017
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