NPI 1598816753
Mountain Home Medical
Practice location
- Address
- 226 Illini Dr, Woodland Park, CO 80863-8747
- Phone
- (719) 686-7504
Authorised official
- Name
- Dan Nicholson
- Title
- Owner
- Phone
- (719) 331-9861
Registered specialties
Personal Emergency Response Attendant
Primary
Registry record
- NPI
- 1598816753
- Entity type
- Organization
- NPI issued
- 15 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.