| NPI | 1972555118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT EDWARD HARRISON Administrator 719-302-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 169423) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-21 |