| NPI | 1114574449 |
|---|---|
| Former Legal Business Name | BROOKDALE BEAR CREEK |
| Entity Type | Organization |
| Authorized Contact | LUKE ALLEN PETTIETTE Executive Director 719-329-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |