| NPI | 1043687908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBUNMI ADEBOLA OKETUNMBI Administrator /Owner 719-406-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 018630) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: TX 018630) |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-05-22 |