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Organization

GREENWOOD MANOR INC

Active
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Organization

GREENWOOD MANOR INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN CARTER WELLS (ADMINISTRATOR)
(719) 778-2934
Entity
Organization

Contact information

Practice address
421 W 11TH ST, PUEBLO, CO 81003-2806
(719) 778-2934
(719) 542-6098
Mailing address
421 W 11TH ST, PUEBLO, CO 81003-2806
(719) 778-2934
(719) 542-6098

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23062L
CO

Other

Enumeration date
05/29/2018
Last updated
05/29/2018
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