Organization
LOVELAND ELDER GREEN HOUSE HOMES FOR LIFE ENHANCEMENT
Active
Other names
The Green House Homes at Mirasol
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(720) 974-6278
Entity
Organization
Contact information
Practice address
490 MIRASOL DR, LOVELAND, CO 80537-2339
(970) 342-2400
(970) 342-2267
Mailing address
490 MIRASOL DR, LOVELAND, CO 80537-2339
(970) 342-2400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
02F496
CO
Other
Enumeration date
12/17/2015
Last updated
12/23/2021
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