Ssc Pueblo Operating Company LLC

NPI #1235620840 in Pueblo, Colorado

Provider Information

NPI Number
1235620840
Entity Type
Organization
Organization Name
Ssc Pueblo Operating Company LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SSC PUEBLO OPERATING COMPANY LLC
Primary Specialty
Respite Care
Enumeration Date
May 21, 2018
Last Updated
May 21, 2018

Practice Location

Address
2701 CALIFORNIA ST
City
Pueblo
ZIP Code
81004-3869
Phone
(719) 561-1300

Authorized Official

Name
KEN PITTS
Title
DIRECTOR REIMBURSEMENT
Phone
(832) 467-6793

Specialties & Taxonomy Codes

Specialty
Respite Care

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