| NPI | 1235947680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD REDDON CEO 307-421-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |