NPI | 1386895621 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE KORRELL CEO 719-767-5662 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: CO 010232) |
Enumeration Date | 2008-10-06 |
Last Update Date | 2009-11-09 |