Southern Colordo Independent Community, LLC

NPI #1235592684 in Pueblo, Colorado

Provider Information

NPI Number
1235592684
Entity Type
Organization
Organization Name
Southern Colordo Independent Community, LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Apr 2, 2016
Last Updated
Apr 2, 2016

Practice Location

Address
2325 CRESTWOOD LN
City
Pueblo
ZIP Code
81008-2862
Phone
(720) 201-4065

Authorized Official

Name
WILLIAM GERARD SMITH
Title
MEMBER
Phone
(720) 201-4065

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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