Whalio Doctors

NPI 1124485933

33 Southmoor Properties, INC

Organisation Skilled Nursing Facility Wheat Ridge, CO

Practice location

Address
2920 Fenton St, Wheat Ridge, CO 80214-8116
Phone
(303) 238-0481
Fax
(303) 233-3775

Authorised official

Name
Mary Koretke
Title
Director of Reimbursement
Phone
(720) 974-6278

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 020436 (CO)

Registry record

NPI
1124485933
Entity type
Organization
NPI issued
25 Jan 2016
Record last updated
25 Jan 2016

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.