Pueblo Community Connections INC II

NPI #1891232021 in Pueblo, Colorado

Provider Information

NPI Number
1891232021
Entity Type
Organization
Organization Name
Pueblo Community Connections INC II
Primary Specialty
In Home Supportive Care
Enumeration Date
Jan 25, 2017
Last Updated
Jan 25, 2017

Practice Location

Address
3913 SANDALWOOD LN
City
Pueblo
ZIP Code
81005-2586
Phone
(719) 544-2122

Authorized Official

Name
THOMAS LAVINE
Title
OWNER/OPERATOR
Phone
(719) 544-2122

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services
In Home Supportive Care

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