| NPI | 1790536373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENITA BOLDEN Director Of Operations 719-425-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |