| NPI | 1689209884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O MAKINWA Administrator 719-930-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2020-03-08 |