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Organization

PEAK MEDICAL COLORADO NO. 2, INC.

Active
Parent organization
PEAK MEDICAL LLC
Other names
PUEBLO CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEAK MEDICAL LLC
Authorized official
MICHAEL THEODORE BERG (CORP OFFICER)
(505) 468-4742
Entity
Organization

Contact information

Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
(719) 564-1735
Mailing address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
(719) 564-1735

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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