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NPI Code Detail

MEDICARE: AVALANCHE HEALTHCARE INC.

MEDICARE: AVALANCHE HEALTHCARE INC.
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 Facility

General Provider Information

NPI Number : 1740876127
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVALANCHE HEALTHCARE INC.
Provider Business Mailing Address
First Line : 4450 E JEWELL AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-4605
Country : US
Telephone Number : 303-757-7438
Fax Number :
Provider Business Practice Location Address
First Line : 4450 E JEWELL AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-4605
Country : US
Telephone Number : 303-757-7438
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : SOON BURNAM
Credential :
Telephone Number : 949-540-1249
Provider Enumeration Date : 12/18/2020
Last Update Date : 12/18/2020

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Directions to “AVALANCHE HEALTHCARE INC. ” Practice Location

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