| NPI | 1285060756 |
|---|---|
| Doing Business As | THE PAVILION AT VILLA PUEBLO |
| Entity Type | Organization |
| Authorized Contact | DEAN KIKLIS CFO 303-952-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-26 |