Provider Demographics
NPI:1639542335
Name:CENTER AT LOWRY, LLC
Entity Type:Organization
Organization Name:CENTER AT LOWRY, LLC
Other - Org Name:THE CENTER AT LOWRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNVAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-730-0066
Mailing Address - Street 1:8550 E LOWRY BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6932
Mailing Address - Country:US
Mailing Address - Phone:303-676-4000
Mailing Address - Fax:303-676-4050
Practice Address - Street 1:8550 E LOWRY BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6932
Practice Address - Country:US
Practice Address - Phone:303-676-4000
Practice Address - Fax:303-676-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility