| NPI | 1750741211 |
|---|---|
| Other Name | PUEBLO VA CLC |
| Entity Type | Organization |
| Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2017-12-12 |