Whalio Doctors

NPI 1013414796

Ssc Greeley Centennial Operating Company LLC

Organisation Respite Care Greeley, CO

Practice location

Address
1637 29th Avenue Pl, Greeley, CO 80634-6822
Phone
(970) 356-8181
Fax
(970) 356-3278
Mailing address
5300 W Sam Houston Pkwy N STE 100, Houston, TX 77041-5162

Authorised official

Name
Ken Pitts
Title
Director Reimbursement
Phone
(832) 467-6793

Registered specialties

Respite Care Primary
Respite Care Facility Taxonomy 385H00000X Licence 0013 (CO)

Registry record

NPI
1013414796
Entity type
Organization
NPI issued
10 Apr 2018
Record last updated
16 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.