NPI | 1144376922 |
---|---|
Doing Business As | PRAIRIE VIEW CARE CENTER |
Entity Type | Organization |
Authorized Contact | TRACY M FISH Finance Manager 602-368-8203 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0317) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |