Organization
BENT COUNTY MEMORIAL NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BRONNENBERG (LEAD BILLER)
(720) 929-0086
Entity
Organization
Contact information
Practice address
810 3RD ST, LAS ANIMAS, CO 81054-1002
(719) 456-1340
(719) 456-3131
Mailing address
3440 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-5245
(720) 929-0086
(720) 929-0381
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55233538
—
CO
Enumeration date
11/04/2022
Last updated
11/04/2022
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