| Organization Name: | GUNNISON VALLEY HEALTH SENIOR CARE CENTER |
| NPI Number: | 1013952472 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | J WADE BAKER (ADMINISTRATOR) |
| Mailing Address: | 1500 W Tomichi Ave Gunnison |
| State: | CO US |
| Postal Code: | 812303711 |
| Phone Number: | 9706410704 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |