| NPI | 1932180346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A NELSON Administrator 719-267-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0667) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2021-01-25 |