Organization
SL LIBERTY HEIGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI KYLE (A/R COORDINATOR)
(719) 481-5207
Entity
Organization
Contact information
Practice address
12205 GUNSTOCK DRIVE, COLORADO SPRINGS, CO 80921-3624
(719) 481-5207
(719) 481-5035
Mailing address
12105 GUNSTOCK DR, COLORADO SPRINGS, CO 80921
(719) 481-5207
(719) 481-5035
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0635
CO
Other
Enumeration date
06/19/2006
Last updated
07/24/2008
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