Skin Hdc
NPI #1417334806 in Broomfield, Colorado
Provider Information
- NPI Number
- 1417334806
- Entity Type
- Organization
- Organization Name
- Skin Hdc
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 5, 2015
- Last Updated
- May 5, 2015
Practice Location
- Address
- 413 SUMMIT BLVD
- Address 2
- UNIT 104
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80021-8294
- Phone
- (303) 440-6611
Authorized Official
- Name
- GYWNN WOLFSTAR, RN, BSN, BA
- Title
- REGISTERED NURSE, CEO
- Phone
- (303) 440-6611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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