Whalio Doctors

NPI 1205209764

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

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 020369 (CO)

Registry record

NPI
1205209764
Entity type
Organization
NPI issued
5 Nov 2015
Record last updated
9 Jan 2017

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.