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Organization

SSC FORT COLLINS SPRING CREEK OPERATING COMPANY LLC

Active
Other names
Spring Creek Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization

Contact information

Practice address
1000 E STUART ST, FORT COLLINS, CO 80525-1555
(970) 482-5712
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL-0976
CO
314000000X
Skilled Nursing Facility
Primary
1303
CO
385H00000X
Respite Care
1303
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30209862
CO
01
76054276
ASSISTED LIVING
CO
05
96731591
CO
Enumeration date
04/01/2007
Last updated
11/16/2020
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