Organization
BUCKEYE A, LLC
Active
Other names
Autumn Heights Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MOSKOWITZ CPA (PRESIDENT)
(303) 238-3838
Entity
Organization
Contact information
Practice address
3131 S. FEDERAL BLVD, DENVER, CO 80236-2713
(303) 761-0260
(303) 761-7088
Mailing address
12136 W. BAYAUD AVENUE, SUITE 200, LAKEWOOD, CO 80228-2115
(303) 238-3838
(303) 987-0434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0318
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05656004
—
CO
Enumeration date
10/31/2005
Last updated
05/25/2016
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