Waverley - Colorado, Inc.

NPI 1689665119 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1689665119
Enumeration Date 11/03/2005
Last Updated 04/25/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JAY JAY
Position PRESIDENT
Phone (303) 442-4037
Fax (303) 442-2348
Practice Location
2121 MESA DR
BOULDER CO, 80304-3621, US
Phone (303) 442-4037
Fax (303) 442-2348
Business Location
12136 W BAYAUD AVE
SUITE 200
LAKEWOOD CO, 80228-2115, US
Phone (303) 238-3838
Fax
Toxanomy
Taxonomy Code 314000000X
License State Colorado
License Number 0638
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According to our database, Waverley - Colorado, Inc. NPI is 1689665119, taxonomy code is 314000000X and license number is 0638, license state is located at Colorado. Waverley - Colorado, Inc. physically located at 2121 Mesa Dr, Boulder CO, 80304-3621. NPI Number 1033115704 has the healthcare provider type.

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1689665119 NPI number is provided on an as is basis without warranty of any kind. 1689665119 is maintained by the National Plan & Provider Enumeration System. The contents of Waverley - Colorado, Inc. are for informational purposes only.