Organization
HP WHITE RIVER
Active
Other names
GLEN VALLEY CARE & REHAB CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L BURDETTE (DIRECTOR OF FINANCE)
(423) 308-1845
Entity
Organization
Contact information
Practice address
2305 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4325
(970) 945-5476
Mailing address
2305 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4325
(970) 945-5476
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0145
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17538351
—
CO
Enumeration date
01/17/2007
Last updated
08/22/2020
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