Organization
PITMAN PLACE, LLC
Active
Other names
WESTWIND VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MCREYNOLDS (OWNER)
(303) 238-3838
Entity
Organization
Contact information
Practice address
2515 PITMAN PL, PUEBLO, CO 81004-2633
(719) 564-0550
(719) 561-9760
Mailing address
2515 PITMAN PL, PUEBLO, CO 81004-2633
(719) 564-0550
(719) 561-9760
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020699
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056-52664
—
CO
Enumeration date
08/02/2005
Last updated
06/10/2008
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