| NPI | 1770998544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISANDRA PANTING Executive Director 3030-322-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CO 04F925) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |