Organization
INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC
Active
Other names
Parkmoor Village Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
3625 PARKMOOR VILLAGE DR, COLORADO SPRINGS, CO 80917-5205
(719) 550-0200
(719) 637-0756
Mailing address
3625 PARKMOOR VILLAGE DR, COLORADO SPRINGS, CO 80917-5205
(719) 550-0200
(719) 637-0756
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0165
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05652151
—
CO
01
—
57688894
DEPT OF DEFENSETPIN #
CO
Enumeration date
07/07/2005
Last updated
07/16/2014
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