Organization
COLORADO STATE VETERANS NURSING HOME
Active
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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