| NPI | 1184623977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. ROBERT WILSON Owner 970-482-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2017-09-11 |