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NPI Code Detail

MEDICARE: JUNIPER PARK, LP

MEDICARE: JUNIPER PARK, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility0073CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417955790
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUNIPER PARK, LP
Provider Business Mailing Address
First Line : 2205 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3803
Country : US
Telephone Number : 303-458-1112
Fax Number : 303-433-1212
Provider Business Practice Location Address
First Line : 2205 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3803
Country : US
Telephone Number : 303-458-1112
Fax Number : 303-433-1212
Authorized Official
Title or Position : DIRECTOR COMMUNITY ACCOUNTING
Name : MRS. LINDA C DONATO
Credential :
Telephone Number : 973-945-3626
Provider Enumeration Date : 07/12/2005
Last Update Date : 05/26/2010

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Directions to “JUNIPER PARK, LP ” Practice Location

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