| NPI | 1750038717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS GIBBONS Member 303-591-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |