| NPI | 1801348834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN VANNESS Owner 719-233-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2022-03-07 |