NPI 1053801712

Starlight Assisted Living

Organisation Assisted Living Facility Colorado Springs, CO

Practice location

Address: 68 Security Blvd, Colorado Springs, CO 80911-1929
Phone: (719) 390-4721
Fax: (719) 390-4721
Mailing address: 19053 E 51st Ave, Denver, CO 80249-8433

Authorised official

Name: Jim Gultom
Title: President
Phone: (720) 409-7130

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 230550 (CO)

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Registry record

NPI: 1053801712
Entity type: Organization
NPI issued: 17 May 2018
Record last updated: 17 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.