| NPI | 1225608912 |
|---|---|
| Doing Business As | PROVIDENCE OF SPARTA HEALTH AND REHAB |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R BARKER Manager 303-449-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |