NPI 1255201695
Sample Supports
Practice location
- Address
- 1331 Linden St, Longmont, CO 80501-3203
- Phone
- (720) 684-6102
- Mailing address
- 606 Mountain View Ave, Longmont, CO 80501-2779
Authorised official
- Name
- Carmen Louise Sample
- Title
- Owner
- Phone
- (303) 523-8057
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1255201695
- Entity type
- Organization
- NPI issued
- 10 Nov 2025
- Record last updated
- 10 Nov 2025
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.