| NPI | 1104009547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE L BRADEN Facility Director 719-539-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2022-04-11 |