NPI 1366430910

Shadow Mountain Management

Organisation Skilled Nursing Facility Canon City, CO

Practice location

Address: 1401 Phay Ave, Canon City, CO 81212-2303
Phone: (719) 275-8656

Authorised official

Name: Shelby Townsend
Title: Business Office Manager
Phone: (719) 275-8656

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 0055 (CO)

Other Skilled Nursing Facility providers in Colorado →

Registry record

NPI: 1366430910
Entity type: Organization
NPI issued: 7 Oct 2005
Record last updated: 28 Jan 2026

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.