Organization
FOREST STREET LTC, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL FRIEDMAN (DIRECTOR OF OPERATIONS)
(720) 929-0086
Entity
Organization
Contact information
Practice address
3345 FOREST ST, DENVER, CO 80207-1944
(303) 393-7600
(303) 393-7606
Mailing address
3440 YOUNGFIELD ST # 358, WHEAT RIDGE, CO 80033-5245
(720) 929-0086
(720) 929-0381
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143670
—
CO
Enumeration date
09/15/2022
Last updated
10/18/2022
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