Organization
SENIOR CARE OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN DOUGLAS FARBER (OWNER)
(720) 887-4955
Entity
Organization
Contact information
Practice address
3690 W 112TH AVE UNIT 205, WESTMINSTER, CO 80031-2118
(720) 887-4955
(720) 887-4955
Mailing address
3690 W 112TH AVE UNIT 205, WESTMINSTER, CO 80031-2118
(720) 887-4955
(720) 887-4955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115260
CO
363LG0600X
Gerontology Nurse Practitioner
115260
CO
Other
Enumeration date
06/05/2009
Last updated
06/30/2009
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