Organization
SAGE LAKEWOOD, LLC
Active
Other names
Bethany Healthplex
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH B. ROSS (SECRETARY)
(812) 422-7774
Entity
Organization
Contact information
Practice address
5301 W 1ST AVE, LAKEWOOD, CO 80226-2434
(303) 238-8333
(303) 238-0464
Mailing address
5301 W 1ST AVE, LAKEWOOD, CO 80226-2434
(303) 238-8333
(303) 238-0464
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0565
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056-52169
—
CO
Enumeration date
01/05/2006
Last updated
08/22/2020
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