| NPI | 1073270963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE BROOKS CEO 719-200-6487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2022-10-14 |