| NPI | 1669649349 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | ANNETTE ALICIA MOODY Owner 719-590-9510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CO 92931235) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-06-23 |