NPI 1639843410
Sample Supports, LLC
Practice location
- Address
- 309 Atwood St, Longmont, CO 80501
- Phone
- (720) 684-6102
- Mailing address
- 620 Kimbark St, Longmont, CO 80501-4911
Authorised official
- Name
- Carmen Louise Sample
- Title
- Ceo
- Phone
- (303) 523-8057
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1639843410
- Entity type
- Organization
- NPI issued
- 4 Aug 2021
- Record last updated
- 4 Aug 2021
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.