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 |