Organization
SSC DURANGO OPERATING COMPANY LLC
Active
Other names
Four Corners Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
2911 JUNCTION, DURANGO, CO 81301-4134
(970) 247-2215
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1292
CO
385H00000X
Respite Care
1292
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54583039
—
CO
05
—
99000792
—
CO
Enumeration date
04/01/2007
Last updated
11/16/2020
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