| NPI | 1104207760 |
|---|---|
| Doing Business As | DBA FIRSTLIGHT HOME CARE PUEBLO |
| Entity Type | Organization |
| Authorized Contact | JUDY DEVINCENTIS Member 970-209-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-01-22 |