Organization
NORTHGLENN OPERATIONS, LLC
Active
Other names
Avamere Transitional Care and Rehabilitation-Malley
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE VANDERZANDEN (DEPUTY GENERAL COUNSEL)
(503) 329-8344
Entity
Organization
Contact information
Practice address
401 MALLEY DR, NORTHGLENN, CO 80233-2024
(303) 452-4700
Mailing address
25115 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-8891
(503) 570-3405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/30/2021
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