Organization
QL-ALLISON CARE CENTER
Active
Other names
Allison Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(720) 974-6278
Entity
Organization
Contact information
Practice address
1660 ALLISON ST, LAKEWOOD, CO 80214-6023
(303) 232-7177
(303) 232-0122
Mailing address
1660 ALLISON ST, LAKEWOOD, CO 80214-6023
(303) 232-7177
(303) 232-0122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020406
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80605028
—
CO
Enumeration date
02/11/2016
Last updated
02/11/2016
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