| NPI | 1730627183 |
|---|---|
| Doing Business As | MESA VISTA OF BOULDER |
| Entity Type | Organization |
| Authorized Contact | MARY KORETKE Director Of Reimbursement 720-974-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 020380) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |