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Organization

SSC LONGMONT OPERATING COMPANY LLC

Active
Parent organization
APPLEWOOD LIVING CENTER
Other names
Applewood Living Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
APPLEWOOD LIVING CENTER
Authorized official
KEN PITTS (DIRECTOR REIMBURSEMENT)
(832) 467-6793
Entity
Organization

Contact information

Practice address
1800 STROH PL, LONGMONT, CO 80501-3214
(303) 776-6081
Mailing address
5300 W SAM HOUSTON PKWY N STE 100, HOUSTON, TX 77041-5162
(862) 467-6000
(832) 467-8500

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1280
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000160179
CO
Enumeration date
04/25/2018
Last updated
04/25/2018
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