| NPI | 1073500450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY NMN KOTZ Administrator 720-857-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0666) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |