| NPI | 1710405550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNESSA R VILLAR General Manager/Owner 307-337-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |