Healthcare Provider Details

I. General information

NPI: 1558806323
Provider Name (Legal Business Name): URANIUM NURSING HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13918 E MISSISSIPPI AVE STE 66298
AURORA CO
80012-3603
US

IV. Provider business mailing address

13918 E MISSISSIPPI AVE STE 66298
AURORA CO
80012-3603
US

V. Phone/Fax

Practice location:
  • Phone: 970-661-2743
  • Fax: 970-661-2747
Mailing address:
  • Phone: 970-661-2743
  • Fax: 970-661-2747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MOUNTAIN URANIUM MANAGEMENT LLC
Title or Position: 100 PERCENT MEMBER
Credential:
Phone: 307-459-0670