Organization
STATE OF COLORADO
Active
Other names
Bruce McCandless Colorado State Veterans Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA JEAN MOORE MBA, NHA (ADMINISTRATOR)
(719) 784-6331
Entity
Organization
Contact information
Practice address
903 MOORE DR, FLORENCE, CO 81226-9509
(719) 784-6331
(719) 784-5335
Mailing address
903 MOORE DR, FLORENCE, CO 81226-9509
(719) 784-6331
(719) 784-5335
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0566
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056-54223
—
CO
05
—
41833015
—
CO
Enumeration date
07/11/2005
Last updated
05/21/2010
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