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Organization
CENTREPOINT SUPPORT LIVING, LLC
Active
Organization
CENTREPOINT SUPPORT LIVING, LLC
Active
Other names
CentrePointCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY R. WILLIAMS (PRESIDENT AND CEO)
(303) 591-2185
Entity
Organization
Contact information
Practice address
6892 S YOSEMITE CT # 1-101A, CENTENNIAL, CO 80112-1464
(303) 591-2185
Mailing address
6892 S YOSEMITE CT # 1-101A, CENTENNIAL, CO 80112-1464
(303) 591-2185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000141253
—
CO
Enumeration date
03/25/2021
Last updated
05/11/2022
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