NPI | 1366443350 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA K. WOOD Administrator 970-245-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0024) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2012-03-27 |