# SPLENDOR MOUNTAIN SPA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053545251
- **Authorized official:** MS. SUSAN L WILMOT (OWNER)
- **Authorized official phone:** (970) 945-7454

## Contact information

- **Practice address:** 506 MAPLE ST, GLENWOOD SPRINGS, CO 81601-2936
- **Practice address phone:** (970) 945-7454
- **Mailing address:** 506 MAPLE ST, GLENWOOD SPRINGS, CO 81601-2936
- **Mailing address phone:** (970) 945-7454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | 6800 | CO | Yes |

## Other

- **Enumeration date:** 05/04/2009
- **Last updated:** 06/17/2009