| NPI | 1568273555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENEIL RACHELLE SULLIVAN Director 307-351-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |