| NPI | 1871006619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE COONRADT Director 719-888-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |