| NPI | 1225585557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA BOLLER President 719-359-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-03-04 |