State of Colorado
NPI #1033106760 in Trinidad, Colorado
Provider Information
- NPI Number
- 1033106760
- Entity Type
- Organization
- Organization Name
- State of Colorado
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF COLORADO
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 27, 2005
- Last Updated
- Sep 26, 2008
Practice Location
Authorized Official
- Name
- MR. LEE S. BURKHOLDER, NHA
- Title
- ADMINISTRATOR
- Phone
- (719) 845-2818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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