Organization
12080 BELLAIRE WAY OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THEODORE BERG (CORP OFFICER)
(505) 468-4742
Entity
Organization
Contact information
Practice address
12080 BELLAIRE WAY, THORNTON, CO 80241-3600
(303) 450-2700
(303) 450-2701
Mailing address
12080 BELLAIRE WAY, THORNTON, CO 80241-3600
(303) 450-2700
(303) 450-2701
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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