| NPI | 1194732123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE LANE ELDER Director 719-384-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: CO 170217) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: CO 0619) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-12-21 |