| NPI | 1053302695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FORREST Him Privacy 719-523-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CO 06A185) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2021-04-21 |