Organization
BURLINGTON NURSING HOME LLC
Active
Other names
Grace Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRUCE BEARDSLEY (OWNER)
(423) 336-6744
Entity
Organization
Contact information
Practice address
465 5TH STREET, BURLINGTON, CO 80807-1932
(719) 346-7512
(719) 346-9373
Mailing address
465 5TH ST, BURLINGTON, CO 80807-1932
(719) 346-7512
(719) 346-9373
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0066
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57475041
—
CO
Enumeration date
10/03/2006
Last updated
03/03/2010
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