Organization
PONDEROSA CARE COMMUNITIES A, LLC
Active
Other names
North Star Rehabilitation and Care Community
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(720) 974-6278
Entity
Organization
Contact information
Practice address
3185 W ARKANSAS AVE, DENVER, CO 80219-4004
(303) 922-1169
(303) 934-0220
Mailing address
3185 W ARKANSAS AVE, DENVER, CO 80219-4004
(303) 922-1169
(303) 934-0220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020413
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16176367
—
CO
Enumeration date
02/11/2016
Last updated
02/11/2016
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