Organization
329 EXEMPLA CIRCLE OPERATIONS LLC
Active
Parent organization
GENESIS OPERATIONS VI LLC
Other names
PowerBack Rebahilitation Lafayette
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS OPERATIONS VI LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
329 EXEMPLA CIR, LAFAYETTE, CO 80026-3463
(555) 555-5555
Mailing address
329 EXEMPLA CIR, LAFAYETTE, CO 80026-3463
(555) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
00000
CO
314000000X
Skilled Nursing Facility
Primary
0000
CO
Other
Enumeration date
08/27/2014
Last updated
10/29/2015
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