| NPI | 1871705756 |
|---|---|
| Doing Business As | CHEYENNE MANOR |
| Entity Type | Organization |
| Authorized Contact | SHERRY BOWEN Administrator 719-767-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |