| NPI | 1073112207 |
|---|---|
| Doing Business As | HOME WELL CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | TRACIE DOMINGUEZ Executive Director 719-358-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |