Organization
COLORADO STATE VETERANS HOME AT FITZSIMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY NMN KOTZ (ADMINISTRATOR)
(720) 857-6423
Entity
Organization
Contact information
Practice address
1919 QUENTIN ST, AURORA, CO 80010-7125
(720) 857-6400
(720) 857-6500
Mailing address
1919 QUENTIN ST, AURORA, CO 80010-7125
(720) 857-6400
(720) 857-6500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0666
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15088219
—
CO
05
—
82159815
—
CO
Enumeration date
09/30/2005
Last updated
08/22/2020
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