| NPI | 1548704729 |
|---|---|
| Doing Business As | BACA COUNTY PERSONAL CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | RUTH M PORTER Director 719-523-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: CO 04138657) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CO 04138657) |
| 372600000X Adult Companion (Licence: CO 04138657) | |
| 3747P1801X Technician Personal Care Attendant (Licence: CO 04138657) | |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |