| NPI | 1992742258 |
|---|---|
| Doing Business As | PROMEDICA SKILLED NURSING AND REHABILITATION (BOULDER) |
| Entity Type | Organization |
| Authorized Contact | MARTIN D ALLEN Director 419-252-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 1295) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-02-09 |