Organization
BIJOU HEALTHCARE LLC
Active
Other names
Medallion Post Acute Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
1719 E BIJOU ST, COLORADO SPRINGS, CO 80909-5736
(719) 381-1000
Mailing address
1719 EAST BIJOU STREET, COLORADO SPRINGS, CO 80909-5736
(719) 381-4963
(719) 381-4998
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020582
NURSING FACILITY LICENSE
CO
Enumeration date
12/27/2016
Last updated
06/02/2022
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