Organization
NORTHGLENN OPERATIONS, LLC
Active
Other names
Avamere Transitional Care and Rehabilitation-Malley
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD A ODERMOTT (CFO)
(503) 783-2489
Entity
Organization
Contact information
Practice address
401 MALLEY DR, NORTHGLENN, CO 80233-2024
(303) 452-4700
Mailing address
25115 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-8891
(503) 783-2489
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01279700
—
CO
Enumeration date
10/05/2021
Last updated
10/05/2021
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