Southern Teller County Health Services District
NPI #1629076401 in Cripple Creek, Colorado
Provider Information
- NPI Number
- 1629076401
- Entity Type
- Organization
- Organization Name
- Southern Teller County Health Services District
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Feb 7, 2019
Practice Location
- Address
- 700 NORTH A STREET
- City
- Cripple Creek
- State
- Colorado
- ZIP Code
- 80813-0397
- Phone
- (719) 689-2931
Authorized Official
- Name
- MR. LAWRENCE COWAN, NHA
- Title
- NURSING HOME ADMINISTRATOR
- Phone
- (719) 689-2931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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