Shadow Mountain Management
NPI #1366430910 in Canon City, Colorado
Provider Information
- NPI Number
- 1366430910
- Entity Type
- Organization
- Organization Name
- Shadow Mountain Management
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 7, 2005
- Last Updated
- Jan 28, 2026
Practice Location
- Address
- 1401 PHAY AVE
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2303
- Phone
- (719) 275-8656
Authorized Official
- Name
- SHELBY TOWNSEND
- Title
- BUSINESS OFFICE MANAGER
- Phone
- (719) 275-8656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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