NPI 1235592684
Southern Colordo Independent Community, LLC
Practice location
- Address
- 2325 Crestwood Ln, Pueblo, CO 81008-2862
- Phone
- (720) 201-4065
Authorised official
- Name
- William Gerard Smith
- Title
- Member
- Phone
- (720) 201-4065
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1235592684
- Entity type
- Organization
- NPI issued
- 2 Apr 2016
- Record last updated
- 2 Apr 2016
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.