| NPI | 1215910674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY JEAN DE LA GARZA Nursing Home Administrator 303-427-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |