Organization
CANON CITY NURSING AND REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE HIXSON (CONTROLLER)
(801) 941-3495
Entity
Organization
Contact information
Practice address
515 FAIRVIEW AVE, CANON CITY, CO 81212-2863
(801) 601-1450
Mailing address
1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
(801) 601-1450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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