Organization
7395 W EASTMAN PLACE OPERATIONS LLC
Active
Parent organization
GENESIS CO HOLDINGS LLC
Other names
PowerBack Rehabilitation Lakewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS CO HOLDINGS LLC
Authorized official
GEORGE V. HAGER (CEO)
(505) 468-4742
Entity
Organization
Contact information
Practice address
7395 W. EASTMAN PLACE, LAKEWOOD, CO 80227-1234
(720) 388-1042
(720) 388-1046
Mailing address
7395 W EASTMAN PL, LAKEWOOD, CO 80227-5006
(720) 388-1042
(720) 388-1046
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020853
CO
Other
Enumeration date
02/26/2014
Last updated
07/03/2014
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