Organization
RURAL REST HOMES LLC
Active
Other names
Tender Care Village of Limon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIC HANSEN (OPERATING MANAGER)
(970) 221-4039
Entity
Organization
Contact information
Practice address
1750 CIRCLE LANE, LIMON, CO 80828
(719) 775-9451
(719) 775-9455
Mailing address
PO BOX 158, TIMNATH, CO 80547
(970) 481-8902
(866) 881-2537
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
AL0217
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86929372
—
CO
Enumeration date
05/22/2007
Last updated
08/22/2020
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