Organization
WALSH HOSPITAL DISTRICT
Active
Other names
MAPLEWOOD HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA HETRICK (ADMINISTRATOR)
(719) 324-5262
Entity
Organization
Contact information
Practice address
150 N NEVADA ST, WALSH, CO 81090-5135
(719) 324-5262
(719) 324-5266
Mailing address
PO BOX 206, WALSH, CO 81090-0206
(719) 324-5262
(719) 324-5266
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-1046
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04141917
—
CO
Enumeration date
10/17/2006
Last updated
12/19/2024
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