State of Colorado
State of Colorado is an Adult Day Care Clinic/Center in Trinidad, Colorado. Licensed in Colorado. Registered with an NPI since 2008.
- Licensed in
- CO
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
409 Benedicta Ave Trinidad State Nursing HomeTrinidad, CO 81082-2004
Phone: (719) 845-2813
Fax: (719) 845-2807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Day Care Clinic/Center (primary) | Taxonomy 261QA0600X · Licence 020796 (CO) |
|---|---|
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X · Licence 020796 (CO) |
Record details
| NPI number | 1386818383 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Colorado |
| Authorized official | Lee Burkholder — Nursing Home Administrator · (719) 846-9291 |
| Other names | Trinidad State Nursing Home Star Club Adult Day Services Program |
| NPI enumerated | April 22, 2008 |
| Last updated in NPPES | September 26, 2008 |
| Mailing address | 409 Benedicta Ave, Trinidad State Nursing Home Star Club, Trinidad, CO 81082-2004 |