| NPI | 1912494568 |
|---|---|
| Doing Business As | BOULDER MANOR |
| Entity Type | Organization |
| Authorized Contact | KEN PITTS Director Reimbursement 832-467-6793 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: CO 1285) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |