Organization
HP GRAND MESA, INC.
Active
Other names
Paonia Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
1625 MEADOWBROOK BLVD, PAONIA, CO 81428-9325
(970) 527-4837
(970) 527-6407
Mailing address
1625 MEADOWBROOK BLVD, PAONIA, CO 81428-9325
(970) 527-4837
(970) 527-6407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0608
CO
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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