| NPI | 1265995948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL ANTHONY VALLES Owner 970-833-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-08-16 |