Organization
AZURA OF LAKEWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J HERONIMUS (MEMBER)
(303) 938-8000
Entity
Organization
Contact information
Practice address
7395 WEST EASTMAN PLACE, LAKEWOOD, CO 80227-5039
(303) 730-8000
(303) 730-8008
Mailing address
PO BOX 894, BOULDER, CO 80306-0894
(303) 938-8000
(877) 678-0642
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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