Organization
LA JUNTA HEALTH SERVICE DISTRICT
Active
Other names
Bluestem Village
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR, COST REPORTING)
(720) 974-6278
Entity
Organization
Contact information
Practice address
1 DARLENE DRIVE, LA JUNTA, CO 81050
(719) 363-1700
(303) 987-0434
Mailing address
1 DARLENE DRIVE, LA JUNTA, CO 81050
(719) 363-1700
(303) 987-0434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000238087
—
CO
Enumeration date
11/12/2019
Last updated
12/12/2024
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