| NPI | 1588662332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE J MILLER Administrator 719-634-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO AL-0264) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CO 0094) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |