Organization
PUEBLO MEDICAL INVESTORS, LLC
Active
Other names
University Park Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
945 DESERT FLOWER BLVD, PUEBLO, CO 81001-1181
(719) 545-5321
(719) 545-0096
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0595
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056-50114
—
CO
Enumeration date
09/26/2006
Last updated
09/15/2021
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