Organization
FIVE STAR QUALITY CARE-COLORADO LLC
Active
Parent organization
FIVE STAR QUALITY CARE-COLORADO LLC
Other names
Willow Tree Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-COLORADO LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
2050 S MAIN ST, DELTA, CO 81416-2407
(970) 874-9773
(970) 874-3611
Mailing address
2050 S MAIN ST, DELTA, CO 81416-2407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1147
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64623041
—
CO
Enumeration date
05/24/2006
Last updated
03/26/2019
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