Organization
SAMPLE SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LOUISE SAMPLE (OWNER)
(303) 523-8057
Entity
Organization
Contact information
Practice address
1331 LINDEN ST, LONGMONT, CO 80501-3203
(720) 684-6102
Mailing address
606 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-2779
(720) 684-6102
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
About Stedi
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