| NPI | 1669962395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE BRANDT Alternate Administrator 720-515-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CO 04X115) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-06-16 |