12080 Bellaire Way Operations LLC
NPI #1013967132 in Thornton, Colorado
Provider Information
- NPI Number
- 1013967132
- Entity Type
- Organization
- Organization Name
- 12080 Bellaire Way Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUNBRIDGE HEALTHCARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 11, 2006
- Last Updated
- Nov 8, 2021
Practice Location
Authorized Official
- Name
- MICHAEL T BERG
- Title
- AUTHORIZED OFFICIAL
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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