STATE OF COLORADO

Skilled Nursing Facility

Active Organization
NPI: 1033106760

Practice Address

409 BENEDICTA AVE
Trinidad, CO 81082

Phone: (719) 846-9291

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 020796 (CO)

Frequently Asked Questions

NPI 1033106760 is the National Provider Identifier for STATE OF COLORADO, a Skilled Nursing Facility provider located in Trinidad, CO. This NPI was enumerated on September 27, 2005.

Quick Facts

NPI
1033106760
Type
Organization
Enumerated
Sep 27, 2005
Last Updated
Sep 26, 2008

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