| NPI | 1295193001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM CLINKENBEARD Owner/Manager 970-391-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-10-11 |