Healthcare Provider Details

I. General information

NPI: 1912914177
Provider Name (Legal Business Name): DENVER LOWRY JV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 EAST MISSISSIPPI AVENUE
DENVER CO
80247
US

IV. Provider business mailing address

8101 EAST MISSISSIPPI AVENUE
DENVER CO
80247
US

V. Phone/Fax

Practice location:
  • Phone: 303-224-9455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: BRYAN RICHARDSON
Title or Position: EVP
Credential:
Phone: 615-221-2250