NPI 1033106760

State of Colorado

Organisation Skilled Nursing Facility Trinidad, CO

Practice location

Address: 409 Benedicta Ave, Trinidad, CO 81082-2004
Phone: (719) 846-9291
Fax: (719) 845-2802

Authorised official

Name: Lee S. Burkholder
Title: Administrator
Phone: (719) 845-2818

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 020796 (CO)

Other Skilled Nursing Facility providers in Colorado →

Registry record

NPI: 1033106760
Entity type: Organization
NPI issued: 27 Sep 2005
Record last updated: 26 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.