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Organization

PITMAN PLACE, LLC

Active
Other names
HORIZON HEIGHTS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM MCREYNOLDS (OWNER)
(303) 238-3838
Entity
Organization

Contact information

Practice address
1610 SCRANTON AVE, PUEBLO, CO 81004-2676
(719) 564-0550
(719) 561-1601
Mailing address
1610 SCRANTON AVE, PUEBLO, CO 81004-2676
(719) 564-0550
(719) 561-1601

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0275
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05652672
CO
Enumeration date
08/15/2005
Last updated
06/10/2008
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