Sample Supports, LLC
Day Training/Habilitation Specialist in Loveland, CO. Organization (NPI-2).
NPI number1407428394
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1407428394
- Entity type
- Organization (NPI-2)
- Legal business name
- Sample Supports, LLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2021
- Certification date
- Jul 12, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
1327 N Lincoln AveLoveland, CO 80537-4850
Phone 720-684-6102
Mailing address
620 Kimbark StLongmont, CO 80501-4911
Phone 720-684-6102
Authorized official
Carmen Louise Sample
Ceo
3035238057
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