| NPI | 1770133829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN RUSSELL Administrator 719-331-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |