Organization
SSC BERTHOUD OPERATING COMPANY LLC
Active
Parent organization
SSC BERTHOUD OPERATING COMPANY LLC
Other names
Berthoud Living Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSC BERTHOUD OPERATING COMPANY LLC
Authorized official
KEN PITTS (DIRECTOR REIMBURSEMENT)
(832) 467-6793
Entity
Organization
Contact information
Practice address
855 FRANKLIN AVE, BERTHOUD, CO 80513-1158
(970) 532-2683
Mailing address
5300 W SAM HOUSTON PKWY N, HOUSTON, TX 77041-5161
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000161936
—
CO
Enumeration date
06/08/2018
Last updated
06/08/2018
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