Organization
MANOR CARE OF BOULDER CO, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Boulder)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
2800 PALO PKWY, BOULDER, CO 80301-1540
(303) 440-9100
(303) 440-9251
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1295
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57405361
—
CO
Enumeration date
06/02/2006
Last updated
02/09/2023
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