| NPI | 1609996560 |
|---|---|
| Doing Business As | BOULDER MANOR |
| Entity Type | Organization |
| Authorized Contact | KELLE C SANTORO Sr Director Ar 832-467-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 1285) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-11-11 |