Golden Gate Manor

LBN: Golden Gate Manor
Golden Gate Manor is an health care organization with primary practice located at 606 W Abriendo Ave , Pueblo CO 81004-1545. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Golden Gate Manor can be contacted via phone (719) 583-9132, or through Harriman, Mark John via phone (719) 564-0344.

Contact Information

Primary practice address
606 W Abriendo Ave Pueblo CO 81004-1545
Phone: (719) 583-9132
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harriman, Mark John LIC PSY TECH-MENTALL
Phone: (719) 564-0344

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL0183 Colorado

Profile Details

NPI number 1831312339
LBN Legal business name Golden Gate Manor
DBA Doing business as
Authorized official Harriman, Mark John LIC PSY TECH-MENTALL
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Jul 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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