MEDICARE: THE COURTYARD AT RNCR

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	310400000X	Assisted Living Facility		CO

General Provider Information

NPI Number	:	1659856938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE COURTYARD AT RNCR

Provider Business Mailing Address
First Line	:	1020 PATTON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4018
Country	:	US
Telephone Number	:	970-484-7981
Fax Number	:	970-449-4799

Provider Business Practice Location Address
First Line	:	1020 PATTON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4018
Country	:	US
Telephone Number	:	970-484-6407
Fax Number	:	970-449-4799

Authorized Official
Title or Position	:	OWNER / DELEGATE
Name	:	LINDA MARIE DOLLAR
Credential	:
Telephone Number	:	970-484-6407

Provider Enumeration Date	:	10/02/2018
Last Update Date	:	10/02/2018

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Directions to “THE COURTYARD AT RNCR ” Practice Location

Language	Start Address	Practice Location

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