| NPI | 1912942251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI KYLE A/R Coordinator 719-481-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0635) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-07-24 |