Organization
SSC ENGLEWOOD OPERATING COMPANY LLC
Active
Parent organization
SSC ENGLEWOOD OPERATING COMPANY LLC
Other names
Pearl Street Health & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSC ENGLEWOOD OPERATING COMPANY LLC
Authorized official
KEN PITTS (DIRECTOR REIMBURSEMENT)
(832) 467-6793
Entity
Organization
Contact information
Practice address
3636 S PEARL ST, ENGLEWOOD, CO 80113-3806
(303) 761-1640
Mailing address
5300 W SAM HOUSTON PKWY N STE 100, HOUSTON, TX 77041-5162
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
0011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000160003
—
CO
Enumeration date
04/19/2018
Last updated
04/19/2018
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