| NPI | 1376182162 |
|---|---|
| Doing Business As | MESA VISTA OF BOULDER |
| Entity Type | Organization |
| Authorized Contact | MARY KORETKE Director Of Reimbursement 303-238-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |