| NPI | 1902461478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGERSSA ADEBA Owner/Manager 720-568-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-07-23 |