Organization
ROCK CANYON HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2515 PITMAN PL, PUEBLO, CO 81004-2633
(719) 564-0550
(719) 561-9760
Mailing address
2515 PITMAN PL, PUEBLO, CO 81004-2633
(719) 564-0550
(719) 561-9760
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
08/29/2022
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