Organization
SSC GREELEY KENTON OPERATING COMPANY LLC
Active
Parent organization
KENTON MANOR
Other names
Kenton Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTON MANOR
Authorized official
KELLE SANTORO (SENIOR DIRECTOR ACCOUNTS RECEIVABLE)
(832) 467-5728
Entity
Organization
Contact information
Practice address
850 27TH AVE, GREELEY, CO 80634-5899
(970) 353-1018
Mailing address
850 27TH AVE, GREELEY, CO 80634-5899
(970) 353-1018
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000162102
—
CO
Enumeration date
07/09/2021
Last updated
07/09/2021
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