Organization
PARK FOREST CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY JEAN DE LA GARZA LICENSED 2116 (NURSING HOME ADMINISTRATOR)
(303) 427-7045
Entity
Organization
Contact information
Practice address
7045 STUART ST, WESTMINSTER, CO 80030-5820
(303) 427-7045
(303) 427-0023
Mailing address
7045 STUART ST, WESTMINSTER, CO 80030-5820
(303) 427-7045
(303) 427-0023
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05651757
—
CO
Enumeration date
11/21/2005
Last updated
08/22/2020
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