# SPECIAL OUTINGS, ACTIVITIES, AND RECREATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOAR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609337773
- **Authorized official:** SYDNEY STARR JACKSON-CLOCKSTON (CO-OWNER/ ACTIVITIES DIRECTOR)
- **Authorized official phone:** (720) 329-2796

## Contact information

- **Practice address:** 9465 W HINSDALE PL, LITTLETON, CO 80128-4168
- **Practice address phone:** (720) 329-2796
- **Mailing address:** 9465 W HINSDALE PL, LITTLETON, CO 80128-4168
- **Mailing address phone:** (720) 329-2796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 373H00000X | Day Training/Habilitation Specialist | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 03/29/2019