| NPI | 1902639982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS KNIGHT Owner 970-781-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |