Organization
BUCKEYE M, LLC
Active
Other names
Mesa Vista of Boulder
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(720) 974-6278
Entity
Organization
Contact information
Practice address
2121 MESA DR, BOULDER, CO 80304-3621
(303) 442-4037
(303) 442-2348
Mailing address
2121 MESA DR, BOULDER, CO 80304-3621
(303) 442-4037
(303) 442-2348
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020380
CO
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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