Organization
SSC FORT COLLINS SPRING CREEK OPERATING COMPANY LLC
Active
Other names
GARDEN SQUARE AT SPRING CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
1000 E STUART ST, FORT COLLINS, CO 80525-1555
(970) 482-5712
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
230320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76054276
—
CO
Enumeration date
04/06/2017
Last updated
04/06/2017
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