| NPI | 1063781250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FISHMAN Owner 303-742-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CO 3336) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |