Organization
CAMELOT HEALTH CARE, INC.
Active
Other names
Valley View Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(303) 987-3088
Entity
Organization
Contact information
Practice address
2120 N 10TH ST, CANON CITY, CO 81212-2211
(719) 275-7569
(719) 275-3890
Mailing address
12136 W BAYAUD AVE, SUITE 200, LAKEWOOD, CO 80228-2115
(303) 987-3088
(303) 987-0434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05651468
—
CO
Enumeration date
01/11/2006
Last updated
02/05/2010
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