| NPI | 1376991893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LOUISE PRIME Vice President 719-577-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CO 04O244) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: CO 04K988) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2022-01-19 |