Organization
33 SOUTHMOOR PROPERTIES, INC.
Active
Other names
WHEATRIDGE MANOR NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY H. MOSKOWITZ NHA (CEO)
(303) 238-3838
Entity
Organization
Contact information
Practice address
2920 FENTON ST, WHEAT RIDGE, CO 80214-8116
(303) 238-0481
(303) 233-3775
Mailing address
2920 FENTON ST, WHEAT RIDGE, CO 80214-8116
(303) 238-0481
(303) 233-3775
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020436
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4540660001
DMERC NUMBER
CO
05
—
80636217
—
CO
Enumeration date
07/07/2005
Last updated
11/01/2010
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