Organization
SPLENDOR MOUNTAIN SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN L WILMOT (OWNER)
(970) 945-7454
Entity
Organization
Contact information
Practice address
506 MAPLE ST, GLENWOOD SPRINGS, CO 81601-2936
(970) 945-7454
Mailing address
506 MAPLE ST, GLENWOOD SPRINGS, CO 81601-2936
(970) 945-7454
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6800
CO
Other
Enumeration date
05/04/2009
Last updated
06/17/2009
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