Organization
MANORCARE HEALTH SERVICES BOULDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY HANLON (ADMINISTRATOR)
(303) 440-9100
Entity
Organization
Contact information
Practice address
2800 PALO PKWY, BOULDER, CO 80301-1540
(303) 440-9100
(303) 440-9251
Mailing address
2800 PALO PKWY, BOULDER, CO 80301-1540
(303) 440-9100
(303) 440-9251
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1295
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992742258
NPI
CO
05
—
63936364
—
CO
Enumeration date
12/20/2006
Last updated
08/22/2020
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