12th Street Operations, LLC

NPI #1346697471 in Rocky Ford, Colorado

Provider Information

NPI Number
1346697471
Entity Type
Organization
Organization Name
12th Street Operations, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 18, 2016
Last Updated
Feb 7, 2019

Practice Location

Address
900 S 12TH ST
ZIP Code
81067-2128
Phone
(619) 876-9252

Authorized Official

Name
RACHEL SILVER
Title
DIRECTOR OF A/R-COLORADO
Phone
(619) 876-9252

Specialties & Taxonomy Codes

Specialty
Respite Care
Clinic/Center - RehabilitationRehabilitation
Skilled Nursing Facility

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Provider Name
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