Organization
JUNIPER HAVEN, LP
Active
Other names
Juniper Village at Lamar
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA C DONATO (DIRECTOR COMMUNITY ACCOUNTING)
(973) 945-3526
Entity
Organization
Contact information
Practice address
205 S 10TH ST, LAMAR, CO 81052-2622
(719) 336-3434
(719) 336-2708
Mailing address
205 S 10TH ST, PO BOX 191, LAMAR, CO 81052-2622
(719) 336-3434
(719) 336-2708
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0555
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05652052
—
CO
Enumeration date
07/12/2005
Last updated
05/26/2010
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