Organization
SLEEP WELL SOUTHERN COLORADO TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L WILSON DDS (OWNER)
(719) 846-7387
Entity
Organization
Contact information
Practice address
417 UNIVERSITY ST STE 1, TRINIDAD, CO 81082-2560
(719) 846-7387
Mailing address
417 UNIVERSITY ST STE 1, TRINIDAD, CO 81082-2560
(719) 846-7387
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
7109
CO
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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