Organization
QL-ALLISON CARE CENTER, LLC
Active
Other names
ALLISON CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY H MOSKOWITZ NHA (CEO/MANAGING MEMBER)
(303) 238-3838
Entity
Organization
Contact information
Practice address
1660 ALLISON ST, LAKEWOOD, CO 80214-6023
(303) 232-7177
(303) 232-0480
Mailing address
1660 ALLISON ST, LAKEWOOD, CO 80214-6023
(303) 232-7177
(303) 232-0480
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0633
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63934272
—
CO
05
—
80605028
—
CO
Enumeration date
07/08/2005
Last updated
08/23/2007
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