Organization
GREY HAVENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIEN KATHLEEN HOWE CNA (OWNER)
(303) 817-4703
Entity
Organization
Contact information
Practice address
12570 COUNTY ROAD 34, PLATTEVILLE, CO 80651-8314
(970) 785-2819
Mailing address
PO BOX 20066, BOULDER, CO 80308-3066
(303) 817-4703
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA.00749790
CO
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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