NPI | 1104870542 |
---|---|
Doing Business As | CHEYENNE MOUNTAIN CARE AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL T BERG Auth Official 505-468-4742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0818) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2021-07-08 |