| NPI | 1225373418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WILSON WILSON Certified Ot Assistant/Cota 719-544-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 1401044) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: CO 1401044) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2017-06-22 |