NPI | 1902804156 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISSI ELLIOTT Management 970-516-1404 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 1007) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2016-12-29 |