Golden Gate Manor INC

NPI #1437738093 in Pueblo, Colorado

Provider Information

NPI Number
1437738093
Entity Type
Organization
Organization Name
Golden Gate Manor INC
Subpart
Yes (part of a larger organization)
Parent Organization
GOLDEN GATE MANOR INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 2, 2021
Last Updated
Apr 2, 2021

Practice Location

Address
612 S UNION AVE
City
Pueblo
ZIP Code
81004-2244
Phone
(719) 924-9932

Authorized Official

Name
MARK HARRIMAN
Title
PRESIDENT
Phone
(719) 369-6290

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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