Healthcare Provider Details

I. General information

NPI: 1639542335
Provider Name (Legal Business Name): CENTER AT LOWRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 11/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 E LOWRY BLVD
DENVER CO
80230-6932
US

IV. Provider business mailing address

8550 E LOWRY BLVD
DENVER CO
80230-6932
US

V. Phone/Fax

Practice location:
  • Phone: 303-676-4000
  • Fax: 303-676-4050
Mailing address:
  • Phone: 303-676-4000
  • Fax: 303-676-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MARK BRUNVAND
Title or Position: CHAIRMAN
Credential:
Phone: 303-730-0066