Organization
CENTER AT PARK WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN J NAKAMURA MD (PRESIDENT)
(719) 252-6254
Entity
Organization
Contact information
Practice address
3727 PARKER BLVD., PUEBLO, CO 81008
(720) 214-7777
(720) 974-1377
Mailing address
12230 LIONESS WAY, PARKER, CO 80134
(720) 214-7777
(720) 974-1377
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
04/11/2016
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