| Organization Name: | RIO BLANCO COUNTY NURSING SERVICE |
| NPI Number: | 1023075827 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEELAN DIANE BANTA (DIRECTOR) |
| Mailing Address: | 209 E Main St Rangely |
| State: | CO US |
| Postal Code: | 816483048 |
| Phone Number: | 9708789525 |
| Fax Number: | 9706758250 |
| NPI Enumeration Date: | 04/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 45560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |