| NPI | 1710196076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ADUDDELL Director 970-248-6974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CO RN 74009) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |