| NPI | 1851796098 |
|---|---|
| Doing Business As | CENTURA HEALTH PHYSICIAN GROUP CHURCH RANCH SENIOR CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA SKINNER Oma Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2016-04-20 |