NPI | 1760036016 |
---|---|
Entity Type | Organization |
Authorized Contact | DURGAMBIHA GUNDA Owner 719-639-6396 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251E00000X Home Health |
385H00000X Respite Care | |
385HR2050X Respite Care Respite Care Camp | |
385HR2055X Respite Care Respite Care, Mental Illness, Child | |
385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2019-07-25 |
Last Update Date | 2020-02-17 |