| NPI | 1013548866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI JEAN FLEMING Billing Tech 970-313-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-04-08 |