Organization
NORTHGLENN OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL MILLER JR. (CHAIRMAN)
(503) 570-3405
Entity
Organization
Contact information
Practice address
401 MALLEY DR, NORTHGLENN, CO 80233-2024
(303) 452-4700
(303) 451-5450
Mailing address
25117 SW PARKWAY AVE, SUITE F, WILSONVILLE, OR 97070-9697
(503) 570-3405
(503) 570-3315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/20/2012
Last updated
03/04/2013
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