| NPI | 1366881237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN ARCHULETA Cota 719-821-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 215145) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |