| NPI | 1962769117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY L BARTSCH RN 303-274-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: CO 78960) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |