Moonlite, LLC

NPI #1982094165 in Pueblo, Colorado

Provider Information

NPI Number
1982094165
Entity Type
Organization
Organization Name
Moonlite, LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Jan 27, 2015
Last Updated
Jan 27, 2015

Practice Location

Address
2099 W US HIGHWAY 50 STE 110
City
Pueblo
ZIP Code
81008-1677
Phone
(719) 569-7685

Authorized Official

Name
WARREN MARTINSON
Title
OWNER
Phone
(970) 209-5608

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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