Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Columbine Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
530 W 16TH ST, SALIDA, CO 81201-2240
(719) 539-6112
(719) 539-6510
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0091
CO
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05655394
—
CO
Enumeration date
08/05/2006
Last updated
09/15/2021
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