| NPI | 1134743883 |
|---|---|
| Doing Business As | NU WAVE HOST HOME AGENCY |
| Entity Type | Organization |
| Authorized Contact | ROSA L HARRIS Director 720-937-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-12-31 |