| NPI | 1609761378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMEDDEQ ADAN Owner 720-400-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-08-05 |