Organization
VISTA GRANDE INN, INC
Active
Other names
vista grande inn
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIANA SINGER (MANAGEMENT)
(970) 516-1404
Entity
Organization
Contact information
Practice address
680 E HOSPITAL DR, CORTEZ, CO 81321-6200
(970) 564-1122
(970) 564-1131
Mailing address
680 E HOSPITAL DR, CORTEZ, CO 81321-6200
(970) 564-1122
(970) 564-1131
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12208086
—
CO
Enumeration date
11/17/2015
Last updated
11/17/2015
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