Organization
HACKBERRY HILL OPCO LLC
Active
Other names
Arbor View
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(303) 238-3838
Entity
Organization
Contact information
Practice address
7991 W 71ST AVE, ARVADA, CO 80004-1828
(303) 403-3110
(303) 431-8903
Mailing address
12136 W BAYAUD AVE STE 200, LAKEWOOD, CO 80228-2115
(720) 974-6278
(303) 987-0434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020414
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05650080
—
CO
01
—
065330
PTAN
—
Enumeration date
07/07/2017
Last updated
12/12/2017
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