| NPI | 1427667948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAN TRUONG Authorized Official 719-460-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |