Larry E. Shores, INC
NPI #1528331279 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1528331279
- Entity Type
- Organization
- Organization Name
- Larry E. Shores, INC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Feb 10, 2012
- Last Updated
- Apr 19, 2012
Practice Location
- Address
- 2135 SOUTHGATE RD
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80906-2605
- Phone
- (719) 633-4114
Authorized Official
- Name
- ABBY WHITESIDE
- Title
- BILLING AGENT
- Phone
- (719) 749-0256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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