NPI 1053850297

Sparks Residential and Support Services, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pueblo, CO

Practice location

Address: 507 W Abriendo Ave, Pueblo, CO 81004-1556
Phone: (719) 569-7962
Mailing address: 1762 27th Ln, Pueblo, CO 81006-9702

Authorised official

Name: Phyllis J. Sparks
Title: President
Phone: (719) 583-0710

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Colorado →

Registry record

NPI: 1053850297
Entity type: Organization
NPI issued: 21 Feb 2017
Record last updated: 17 Feb 2022

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.