Organization
PEAK MEDICAL COLORADO NO. 2, LLC
Active
Other names
Mesa Manor Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THEODORE BERG (CORPORATE OFFICER)
(505) 468-4742
Entity
Organization
Contact information
Practice address
2901 N 12TH ST, GRAND JUNCTION, CO 81506-2811
(970) 243-7211
Mailing address
2901 N 12TH ST, GRAND JUNCTION, CO 81506-2811
(970) 243-7211
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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