Organization
EBEN EZER LUTHERAN CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA BRADSHAW RN (CHIEF EXECUTIVE OFFICER)
(970) 842-2861
Entity
Organization
Contact information
Practice address
122 HOSPITAL RD, BRUSH, CO 80723-1702
(970) 842-2861
(970) 842-3148
Mailing address
122 HOSPITAL RD, BRUSH, CO 80723-1702
(970) 842-2861
(970) 842-3148
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0227
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05653365
—
CO
Enumeration date
06/21/2005
Last updated
08/22/2020
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