| NPI | 1871934190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANN LOOS Owner/Member 307-221-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WY 663) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: WY 663) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |