| NPI | 1770572737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D RUSSELL Administrator 719-544-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: CO 17E478) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-12-12 |