| NPI | 1336693118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE LANTAM Owner 720-329-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |