| NPI | 1285632372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONDA KAY CATHCART Administrator 719-537-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0517) |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |