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Organization

SUNNY VISTA LIVING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA B DENBRABER (BILLING SPECIALIST)
(720) 974-3900
Entity
Organization

Contact information

Practice address
2445 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80909-4812
(719) 471-8700
(719) 471-4352
Mailing address
2445 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80909-4812
(719) 471-8700
(719) 471-4352

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0094
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05654025
CO
Enumeration date
04/26/2007
Last updated
07/15/2022
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