| NPI | 1053133769 |
|---|---|
| Former Legal Business Name | 2ND HOME COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | HANEEN M OMAR CEO 303-999-7763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |