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RENOTTA HEALTH CARE SYSTEMS, INC

Assisted Living Facility

Wray, Colorado

Provider NPI: 1053310839

Organization Information:
Organization Name:  RENOTTA HEALTH CARE SYSTEMS, INC


Practice Location:
360 CANYON RIDGE DR  WRAY, CO 80758 US
Tel: 970-332-4856  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
COAL-842
N385H00000XRespite Care Facility
Respite Care
CO94871868
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
CO0668

Other Provider Identifiers:

IssuerNumberStateType
73953377CO05
14624371CO05
94871868CO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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