1111 BONFORTE OPCO LLC

PUEBLO, CO
NPI1588222863
Entity TypeOrganization
Authorized ContactDEAN KIKLIS
CFO
303-952-9216
Organization Subpart ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
Additional Taxonomies385H00000X Respite Care
Enumeration Date2019-06-03
Last Update Date2019-06-03
Business Address
1111 BONFORTE OPCO LLC
855 HUNTER DR.
PUEBLO, CO 81001
Phone number: 719-545-5911
Mailing Address
1111 BONFORTE OPCO LLC
855 HUNTER DR.
PUEBLO, CO 81001
Phone number: