Organization
SHADOW MOUNTAIN MANAGEMENT
Active
Other names
Hildebrand Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN ROBERTS (OFFICE MANAGER)
(719) 275-8656
Entity
Organization
Contact information
Practice address
1401 PHAY AVE, CANON CITY, CO 81212-2303
(719) 275-8656
(719) 275-8858
Mailing address
1401 PHAY AVE, CANON CITY, CO 81212-2303
(719) 275-8656
(719) 275-8858
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
020666
CO
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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