| NPI | 1639761802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MOORE WALDROP Director Of Compliance & Quality Ma 719-574-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |