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Organization

8451 PEARL ST OPERATING COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN MARCUS (COMPANY PRESIDENT)
(717) 591-5700
Entity
Organization

Contact information

Practice address
8451 PEARL ST, THORNTON, CO 80229-4804
(303) 288-3000
Mailing address
4550 LENA DR, MECHANICSBURG, PA 17055-4920

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0353
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58053565
CO
Enumeration date
12/20/2005
Last updated
08/22/2020
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