| NPI | 1740045780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WEINSTEIN Owner 719-223-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-09-20 |