Healthcare Provider Details
I. General information
NPI: 1740750520
Provider Name (Legal Business Name): HILLTOP HEALTH SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2018
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1405 WELLINGTON AVE
GRAND JUNCTION CO
81501-8230
US
IV. Provider business mailing address
1331 HERMOSA AVE
GRAND JUNCTION CO
81506-4099
US
V. Phone/Fax
- Phone: 970-244-0599
- Fax:
- Phone: 970-242-4400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
COLLEEN
ANDERSON
Title or Position: DIRECTOR OF FISCAL SERVICES
Credential:
Phone: 970-244-0406