Organization
CENTRE AVENUE HEALTH & REHAB FACILITY LLC
Active
Other names
Centre Avenue Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY KENT FANCHER (CFO)
(970) 482-0198
Entity
Organization
Contact information
Practice address
815 CENTRE AVE, FORT COLLINS, CO 80526-1844
(970) 494-2140
(970) 494-2141
Mailing address
815 CENTRE AVE, FORT COLLINS, CO 80526-1844
(970) 494-2140
(970) 494-2141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0434
CO
Other
Enumeration date
09/08/2005
Last updated
08/19/2013
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