Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RIMMER (SPEECH-LANGUAGE PATHOLOGIST)
(815) 793-4092
Entity
Organization
Contact information
Practice address
9029 E MISSISSIPPI AVE APT R302, DENVER, CO 80247-6867
(815) 793-4092
Mailing address
9029 E MISSISSIPPI AVE APT R302, DENVER, CO 80247-6867
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12111157
CO
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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