Organization
ORCHARD PARK NURCING AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNETT T COUSLAND (COTA)
(720) 435-4044
Entity
Organization
Contact information
Practice address
2217 CHEYENNE ST, GOLDEN, CO 80401-2338
(720) 435-4044
Mailing address
2217 CHEYENNE ST, GOLDEN, CO 80401-2338
(720) 435-4044
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1043282
CO
Other
Enumeration date
02/14/2010
Last updated
02/14/2010
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