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General NPI Number Information
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NPI Number | 1598054322
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Entity Type | Organization
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Legal Business Name | GLENWOOD SPRINGS HARMONY HOUSE INC.
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 1046 PARKWEST DR.
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601
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Country | US
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Telephone | 970-928-8262
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Fax | 970-928-1997
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Provider Business Mailing Address
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Address Line | 1045 PARKWEST DR.
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601
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Country | US
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Telephone | 970-928-8262
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Fax | 970-928-1997
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PATRICIA ANN MCKINNEY
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Credential | OTR
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Telephone | 970-928-8262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 230232
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License Number State | CO
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