SO
STATE OF COLORADO
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
TRINIDAD, CO
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1033106760
Agency details
Parent orgSTATE OF COLORADO
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameLEE BURKHOLDER
TitleADMINISTRATOR
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