| NPI | 1982331013 |
|---|---|
| Doing Business As | EAGLE RIDGE AT GRAND VALLEY |
| Entity Type | Organization |
| Authorized Contact | MARY KORETKE Director Of Reimbursement 720-974-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |