Organization
STATE OF COLORADO
Active
Other names
Colorado State Veterans Nursing Home - Rifle
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI M MAYNARD RHIT (MEDICAL RECORDS TECHNICIAN)
(970) 625-0842
Entity
Organization
Contact information
Practice address
851 EAST 5TH STREET, RIFLE, CO 81650-2941
(970) 625-0842
(970) 625-3706
Mailing address
851 EAST 5TH STREET, RIFLE, CO 81650-2941
(970) 625-0842
(970) 625-3706
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0358
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05652748
—
CO
Enumeration date
09/27/2005
Last updated
02/19/2010
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