Organization
LOVELAND ELDER GREEN HOUSE HOMES FOR LIFE ENRICHMENT A COLORADO NON
Active
Other names
The Green House Homes at Mirasol
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(720) 974-6278
Entity
Organization
Contact information
Practice address
490 MIRASOL DR, LOVELAND, CO 80537-2339
(970) 342-2400
(970) 342-2267
Mailing address
490 MIRASOL DRIVE, LOVELAND, CO 80537-2530
(970) 342-2400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08603855
—
CO
Enumeration date
05/08/2014
Last updated
12/23/2021
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