MEDICARE: ROWAN COMMUNITY

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
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1578869236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWAN COMMUNITY

Provider Business Mailing Address
First Line	:	10075 W DARTMOUTH AVE
Second Line	:	F303
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 E ASBURY CIRCLE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222
Country	:	US
Telephone Number	:	303-757-1228
Fax Number	:

Authorized Official
Title or Position	:	PTA
Name	:	JESSICA POLICH
Credential	:
Telephone Number	:	920-857-8390

Provider Enumeration Date	:	01/28/2011
Last Update Date	:	01/28/2011

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Directions to “ROWAN COMMUNITY ” Practice Location

Language	Start Address	Practice Location

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