Organization
RANGELY HOSPITAL DISTRICT
Active
Other names
Eagle Crest Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MCCORMICK (CEO)
(970) 675-5011
Entity
Organization
Contact information
Practice address
222 EAGLE CREST ST, RANGELY, CO 81648-2136
(970) 675-5011
Mailing address
511 S WHITE AVE, RANGELY, CO 81648-2100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23172746
—
CO
Enumeration date
04/09/2007
Last updated
08/22/2020
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