Moonlite, LLC

NPI #1104207760 in Pueblo, Colorado

Provider Information

NPI Number: 1104207760
Entity Type: Organization
Organization Name: Moonlite, LLC
Primary Specialty: Home Health
Enumeration Date: Jun 9, 2015
Last Updated: Jan 22, 2025

Practice Location

Address: 805 EAGLERIDGE BLVD STE 120
City: Pueblo
State: Colorado
ZIP Code: 81008-2354
Phone: (970) 209-0223

Authorized Official

Name: JUDY DEVINCENTIS
Title: MEMBER
Phone: (970) 209-0223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Home Health	251E00000X	Primary

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