| NPI | 1891232021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LAVINE Owner/Operator 719-544-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |