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 EAST HOSPITAL DRIVE, CORTEZ, CO 81321
(970) 564-1122
(970) 564-1131
Mailing address
680 EAST HOSPITAL DRIVE, CORTEZ, CO 81321
(970) 564-1122
(970) 564-1131
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89157231
—
CO
Enumeration date
12/29/2006
Last updated
09/18/2020
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