LA JUNTA LTC INVESTORS
Assisted Living Facility
La Junta, Colorado
Provider NPI: 1639130727
Organization Information:Organization Name: LA JUNTA LTC INVESTORS
Practice Location:
909 W 10TH ST LA JUNTA, CO 81050 US
Tel: 719-384-9333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
909 W 10TH ST LA JUNTA, CO 81050 US
Tel: 719-384-9333 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CO | AL-0239 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
03805565 | CO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin