Organization
PUEBLO CARE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WILSON WILSON CERTIFICATION (CERTIFIED OT ASSISTANT/COTA)
(719) 544-4408
Entity
Organization
Contact information
Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 544-4408
(719) 566-1960
Mailing address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 544-4408
(719) 566-1960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1401044
CO
385H00000X
Respite Care
1401044
CO
Other
Enumeration date
11/29/2012
Last updated
06/22/2017
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