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Organization

SOUTHERN TELLER COUNTY HEALTH SERVICES DISTRICT

Active
Parent organization
CRIPPLE CREEK CARE CENTER
Other names
Cripple Creek Home Health Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRIPPLE CREEK CARE CENTER
Authorized official
MR. LAWRENCE COWAN (NURSING HOME ADMINISTRATOR)
(719) 689-2931
Entity
Organization

Contact information

Practice address
700 NORTH A STREET, CRIPPLE CREEK, CO 80813
(719) 689-2931
(719) 689-3702
Mailing address
700 NORTH A STREET, P O BOX 397, CRIPPLE CREEK, CO 80813-0397
(719) 689-2931
(719) 689-3702

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/24/2009
Last updated
02/07/2019
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