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Organization

12TH STREET OPERATIONS, LLC

Active
Other names
Pioneer Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER M HOPKINS (DIRECTOR OF AR-COLORADO)
(719) 661-0764
Entity
Organization

Contact information

Practice address
900 S 12TH ST, ROCKY FORD, CO 81067-2128
(715) 254-3314
(719) 254-3499
Mailing address
26522 LA ALAMEDA STE 30026522, MISSION VIEJO, CA 92691-6330
(719) 661-0764
(719) 673-5728

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/15/2023
Last updated
03/02/2025
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