State of Colorado

NPI #1669470910 in Florence, Colorado

Provider Information

NPI Number
1669470910
Entity Type
Organization
Organization Name
State of Colorado
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 11, 2005
Last Updated
May 21, 2010

Practice Location

Address
903 MOORE DR
ZIP Code
81226-9509
Phone
(719) 784-6331

Authorized Official

Name
MS. BARBARA JEAN MOORE, MBA, NHA
Title
ADMINISTRATOR
Phone
(719) 784-6331

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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