Healthcare Provider Details
I. General information
NPI: 1437300746
Provider Name (Legal Business Name): POINT PLEASANT DENVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2008
Last Update Date: 10/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 LOWELL BLVD 5TH FLOOR
DENVER CO
80204-1559
US
IV. Provider business mailing address
3 RADNOR CORPORATE CTR
RADNOR PA
19087-4516
US
V. Phone/Fax
- Phone: 610-896-4410
- Fax:
- Phone: 610-896-4410
- Fax: 610-896-4415
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3140N1450X |
| Taxonomy | Pediatric Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERWIN
CARNER
Title or Position: CEO AND CO-OWNER
Credential:
Phone: 610-896-4410