Whalio Doctors

NPI 1194719872

Centre Avenue Health & Rehab Facility LLC

Organisation Skilled Nursing Facility Fort Collins, CO

Practice location

Address
815 Centre Ave, Fort Collins, CO 80526-1844
Phone
(970) 494-2140
Fax
(970) 494-2141

Authorised official

Name
Barry Kent Fancher
Title
Cfo
Phone
(970) 482-0198

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0434 (CO)

Registry record

NPI
1194719872
Entity type
Organization
NPI issued
8 Sep 2005
Record last updated
19 Aug 2013

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.