| NPI | 1619915774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETH ANN HUSTED Medical Director 970-202-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-01-24 |