NPI | 1982052452 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE J BORSA Medical Director 719-680-2677 |
Organization Subpart ? | No |
Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: CO 38779) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2017-05-02 |