Ssc Boulder Operating Company LLC

NPI #1912494568 in Boulder, Colorado

Provider Information

NPI Number: 1912494568
Entity Type: Organization
Organization Name: Ssc Boulder Operating Company LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SSC BOULDER OPERATING COMPANY LLC
Primary Specialty: Respite Care
Enumeration Date: Apr 19, 2018
Last Updated: Apr 19, 2018

Practice Location

Address: 4685 BASELINE RD
City: Boulder
State: Colorado
ZIP Code: 80303-2601
Phone: (303) 494-0535

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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