Senior Harbors, Inc.

LBN: Senior Harbors, Inc.
Senior Harbors, Inc. is an health care organization with primary practice located at 2118 Chatalet Lane , Pueblo CO 81005. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Senior Harbors, Inc. can be contacted via phone (719) 320-3648, or through Gonzales, Sherley J. via phone (719) 320-3648.

Contact Information

Primary practice address
2118 Chatalet Lane Pueblo CO 81005
Phone: (719) 320-3648
Fax: (719) 543-6432
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Sherley J. ED.D.
Phone: (719) 320-3648

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2181 Colorado

Profile Details

NPI number 1114009198
LBN Legal business name Senior Harbors, Inc.
DBA Doing business as
Authorized official Gonzales, Sherley J. ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Sep 14th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114009198 NPPES
Colorado MEDICAID 23489367

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