NPI | 1891005013 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN M GRAVES President 719-641-3827 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X |
332B00000X Durable Medical Equipment & Medical Supplies | |
385H00000X Respite Care | |
376J00000X Homemaker | |
Enumeration Date | 2010-10-21 |
Last Update Date | 2022-03-25 |