Healthcare Provider Details

I. General information

NPI: 1932221009
Provider Name (Legal Business Name): WASHINGTON COUNTY NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 04/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 WEST GREEN HOUSE DRIVE
AKRON CO
80720
US

IV. Provider business mailing address

599 WEST GREEN HOUSE DRIVE
AKRON CO
80720
US

V. Phone/Fax

Practice location:
  • Phone: 970-345-2211
  • Fax: 970-345-6963
Mailing address:
  • Phone: 970-345-2211
  • Fax: 970-345-6963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1201
License Number StateCO

VIII. Authorized Official

Name: BRENDA RHEA
Title or Position: ADMINISTRATOR
Credential:
Phone: 970-345-2211