Organization
WSI PERSONEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL LYNN ARCHULETA CERTIFICATION (COTA)
(719) 821-6949
Entity
Organization
Contact information
Practice address
2610 HOLLYWOOD DR, PUEBLO, CO 81005-3313
(719) 821-6949
Mailing address
2610 HOLLYWOOD DR, PUEBLO, CO 81005-3313
(719) 821-6949
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
215145
CO
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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