Organization
CENTER AT PARK WEST, LLC
Active
Other names
The Center at Park West
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN NAKAMURA (MANAGER)
(719) 900-1398
Entity
Organization
Contact information
Practice address
ST. MARY CORWIN MEDICAL CENTER, 1008 MINNEQUA AVENUE, PUEBLO, CO 81004
(719) 900-1398
Mailing address
1155 KELLY JOHNSON BLVD STE 205, COLORADO SPRINGS, CO 80920-3958
(719) 900-1398
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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