| NPI | 1356893739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DAWN COUGHLIN Nurse Practitioner 303-910-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO APN.0992523-NP) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |