Five Star Quality Care-Colorado LLC
NPI #1255386546 in Canon City, Colorado
Provider Information
- NPI Number
- 1255386546
- Entity Type
- Organization
- Organization Name
- Five Star Quality Care-Colorado LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FIVE STAR QUALITY CARE-COLORADO LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 24, 2006
- Last Updated
- Mar 26, 2019
Practice Location
- Address
- 515 FAIRVIEW AVE
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2863
- Phone
- (719) 275-0665
Authorized Official
- Name
- KATERINE E POTTER
- Title
- PRESIDENT & CHIEF EXECUTIVE OFFICER
- Phone
- (617) 796-8387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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