| NPI | 1194116632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIA SUSINA Administrator 720-500-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CO 04K566) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: CO 04D715) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2023-08-28 |