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NPI Code Detail

MEDICARE: GREEN MEADOWS ASSISTED LIVING

MEDICARE: GREEN MEADOWS ASSISTED LIVING
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
1310400000XAssisted Living Facility23Q902CO

General Provider Information

NPI Number : 1437574514
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREEN MEADOWS ASSISTED LIVING
Provider Business Mailing Address
First Line : 2177 S GOLDEN CT
Second Line :
City : DENVER
State : CO
Zip : 80227-3606
Country : US
Telephone Number : 303-955-0026
Fax Number : 303-955-0026
Provider Business Practice Location Address
First Line : 2177 S GOLDEN CT
Second Line :
City : DENVER
State : CO
Zip : 80227-3606
Country : US
Telephone Number : 303-955-0026
Fax Number : 303-955-0026
Authorized Official
Title or Position : ADMINISTRATOR
Name : ANGELICA GALLEGOS
Credential :
Telephone Number : 720-585-8143
Provider Enumeration Date : 02/25/2014
Last Update Date : 02/25/2014

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Directions to “GREEN MEADOWS ASSISTED LIVING ” Practice Location

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