Organization
LIMELIGHT SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOTOLANI OWOLABI (DIRECTOR)
(814) 722-1559
Entity
Organization
Contact information
Practice address
20732 SCENIC PARK DR, PARKER, CO 80138-3175
(814) 722-1559
Mailing address
4751 TRAILS EDGE LN, CASTLE ROCK, CO 80104-7319
(814) 722-1559
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/23/2022
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