1111 Bonforte Opco, LLC
1111 Bonforte Opco, LLC is a Skilled Nursing Facility in Pueblo, Colorado. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
855 Hunter DrPueblo, CO 81001-1867
Phone: (719) 545-5911
Fax: (719) 253-3709
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1285060756 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dean Kiklis — Cfo · (303) 952-9216 |
| Other names | The Pavilion At Villa Pueblo |
| NPI enumerated | September 17, 2013 |
| Last updated in NPPES | September 26, 2013 |
| Mailing address | 2668 Northpark Dr, Suite 220, Lafayette, CO 80026-3199 |
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1111 Bonforte Opco LLC
855 Hunter Dr, Pueblo, CO 81001 · (719) 545-5911
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