Organization
MILE HIGH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WESTER (ADMINISTRATOR)
(303) 237-1325
Entity
Organization
Contact information
Practice address
115 INGALLS ST, LAKEWOOD, CO 80226-1815
(303) 237-1325
(303) 237-3397
Mailing address
115 INGALLS ST, LAKEWOOD, CO 80226-1815
(303) 237-1325
(303) 237-3397
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0185
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05651476
—
CO
01
—
7100568
EVERCARE
CO
01
—
93837241
RESPITE
CO
Enumeration date
01/11/2007
Last updated
08/22/2020
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