Organization
BLAKE AVENUE OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SILVER (CONSULTANT)
(619) 876-9252
Entity
Organization
Contact information
Practice address
2305 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4325
(619) 876-9252
Mailing address
114 PACIFICA, SUITE 203, IRVINE, CA 92618-3302
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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