| NPI | 1770236507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG BONINO Associate Director Of Ei 720-272-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-02 |