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Organization

EBEN EZER LUTHERAN CARE CENTER

Active
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Organization

EBEN EZER LUTHERAN CARE CENTER

Active
Parent organization
EBEN EZER LUTHERAN CARE CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
EBEN EZER LUTHERAN CARE CENTER
Authorized official
LESLIE MASON (CFO)
(970) 842-2861
Entity
Organization

Contact information

Practice address
1910 EDISON ST, BRUSH, CO 80723-1743
(970) 842-2861
Mailing address
122 HOSPITAL RD, BRUSH, CO 80723-1702
(970) 842-2861

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04070330
CO
Enumeration date
05/15/2020
Last updated
05/15/2020
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