Organization
COLORADO STATE VETERANS NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA MOORE N.H.A. (NURSING HOME ADMINISTRATOR)
(719) 784-5313
Entity
Organization
Contact information
Practice address
903 MOORE DR, FLORENCE4, CO 81226
(719) 784-6331
Mailing address
903 MOORE DR, FLORENCE4, CO 81226
(719) 784-6331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
1105
CO
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28257235
—
CO
Enumeration date
08/21/2006
Last updated
12/16/2016
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