State of Colorado
NPI #1326620261 in Monte Vista, Colorado
Provider Information
- NPI Number
- 1326620261
- 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
- Apr 21, 2021
- Last Updated
- Apr 21, 2021
Practice Location
- Address
- 3749 SHERMAN AVE
- City
- Monte Vista
- State
- Colorado
- ZIP Code
- 81144-9403
- Phone
- (719) 852-8211
Authorized Official
- Name
- GINGER BUTERO
- Title
- ACCOUNTANT
- Phone
- (719) 852-5118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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