Organization
SSC DURANGO OPERATING COMPANY LLC
Active
Parent organization
SSC DURANGO OPEATING COMPANY LLC
Other names
Four Corners Health Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSC DURANGO OPEATING COMPANY LLC
Authorized official
KEN PITTS (DIRECTOR REIMBURSEMENT)
(832) 467-6793
Entity
Organization
Contact information
Practice address
2911 JUNCTION ST, DURANGO, CO 81301-4134
(970) 247-2215
(970) 259-6534
Mailing address
5300 W SAM HOUSTON PKWY N STE 100, HOUSTON, TX 77041-5162
(832) 467-6000
(832) 467-8500
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1292
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000159514
—
CO
Enumeration date
04/10/2018
Last updated
02/16/2022
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