SHADOW MOUNTAIN MANAGEMENT

Skilled Nursing Facility

Active Organization
NPI: 1366430910

Practice Address

1401 PHAY AVE
Canon City, CO 81212

Phone: (719) 275-8656

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 0055 (CO)

Frequently Asked Questions

NPI 1366430910 is the National Provider Identifier for SHADOW MOUNTAIN MANAGEMENT, a Skilled Nursing Facility provider located in Canon City, CO. This NPI was enumerated on October 7, 2005.

Quick Facts

NPI
1366430910
Type
Organization
Enumerated
Oct 7, 2005
Last Updated
Jan 28, 2026

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