| NPI | 1568052363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A NELSON Administrator 719-267-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-11-01 |