Fairacres Manor, Inc

NPI 1154300853 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1154300853
Enumeration Date 01/11/2006
Last Updated 02/05/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARY MARY
Position DIRECTOR OF REIMBURSEMENT
Phone (970) 353-3370
Fax (970) 353-9347
Practice Location
1700 18TH AVE
GREELEY CO, 80631-5134, US
Phone (970) 353-3370
Fax (970) 353-9347
Business Location
12136 W BAYAUD AVENUE
SUITE 200
LAKEWOOD CO, 80228-2115, US
Phone (303) 987-3088
Fax (303) 987-0434
Toxanomy
Taxonomy Code 314000000X
License State Colorado
License Number 0576
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According to our database, Fairacres Manor, Inc NPI is 1154300853, taxonomy code is 314000000X and license number is 0576, license state is located at Colorado. Fairacres Manor, Inc physically located at 1700 18th Ave, Greeley CO, 80631-5134. NPI Number 1033115704 has the healthcare provider type.

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1154300853 NPI number is provided on an as is basis without warranty of any kind. 1154300853 is maintained by the National Plan & Provider Enumeration System. The contents of Fairacres Manor, Inc are for informational purposes only.