Starlight Assisted Living
NPI #1053801712 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1053801712
- Entity Type
- Organization
- Organization Name
- Starlight Assisted Living
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 17, 2018
- Last Updated
- May 17, 2018
Practice Location
- Address
- 68 SECURITY BLVD
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80911-1929
- Phone
- (719) 390-4721
Authorized Official
- Name
- JIM GULTOM
- Title
- PRESIDENT
- Phone
- (720) 409-7130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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