| NPI | 1104393693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH AVILA Owner/Administrator 719-924-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2019-12-23 |