| NPI | 1689665119 |
|---|---|
| Doing Business As | MESA VISTA OF BOULDER |
| Entity Type | Organization |
| Authorized Contact | JAY MOSKOWITZ President 303-238-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0638) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2016-04-25 |