Organization
GOLDEN POND LLC
Active
Organization
GOLDEN POND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L WYATT LPN (DIRECTOR OF HEALTH SERVICES)
(303) 271-0430
Entity
Organization
Contact information
Practice address
1270 N FORD ST, GOLDEN, CO 80403-1967
(303) 271-0430
Mailing address
1270 N FORD ST, GOLDEN, CO 80403-1967
(303) 271-0430
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
23P550
CO
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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