Organization · Type 2 NPI

State of Colorado

Skilled Nursing Facility · Monte Vista, CO

NPI number 1114085875 Active

Practice location

3749 Sherman Ave
Monte Vista, CO 81144-9403

Fax (719) 852-3881

Mailing address

PO Box 97
Homelake, CO 81135-0097

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X2023 (CO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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About NPI 1114085875

State of Colorado's National Provider Identifier is 1114085875, issued on Dec 5, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Monte Vista, CO. The record was last updated on Jul 12, 2021.