| NPI | 1417486531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GUSTAFSON Office Admistrator 719-434-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: CO 04Y454) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |