Organization
STARLIGHT ASSISTED LIVING
Active
Other names
Security Alternative Care
Organization subpart
No
Provider details
NPI number
Authorized official
JIM GULTOM (PRESIDENT)
(720) 409-7130
Entity
Organization
Contact information
Practice address
68 SECURITY BLVD, COLORADO SPRINGS, CO 80911-1929
(719) 390-4721
(719) 390-4721
Mailing address
19053 E 51ST AVE, DENVER, CO 80249-8433
(720) 409-7130
(719) 390-4721
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
230550
CO
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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