| NPI | 1255897385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD REDDON Owner 307-256-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 305S00000X Point of Service | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2021-10-05 |