Organization
LIFE CARE ASSOCIATES IV LIMITED PARTNERSHIP
Active
Other names
Villa Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
7950 W MISSISSIPPI AVE, LAKEWOOD, CO 80226-4326
(303) 986-4511
(303) 986-0828
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0599
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05655709
—
CO
Enumeration date
09/27/2006
Last updated
09/15/2021
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