NPI 1154300853

Fairacres Manor, INC

Organisation Skilled Nursing Facility Greeley, CO

Practice location

Address: 1700 18th Ave, Greeley, CO 80631-5134
Phone: (970) 353-3370
Fax: (970) 353-9347
Mailing address: 12136 W Bayaud Avenue Suite 200, Lakewood, CO 80228-2115

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 0576 (CO)

Other Skilled Nursing Facility providers in Colorado →

Registry record

NPI: 1154300853
Entity type: Organization
NPI issued: 11 Jan 2006
Record last updated: 5 Feb 2010

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.