Organization
FOWLER HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY C. HARRISON (ADMINISTRATOR)
(719) 263-4234
Entity
Organization
Contact information
Practice address
221 2ND ST, FOWLER, CO 81039-1201
(719) 263-4234
Mailing address
221 2ND STREET, FOWLER, CO 81039-1201
(719) 263-4234
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0058
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05655626
—
CO
Enumeration date
10/17/2005
Last updated
07/19/2007
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