Organization
RESTORE HEALTH FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEATHIA WARE NP (OWNER/OPERATOR)
(719) 292-5051
Entity
Organization
Contact information
Practice address
1235 LAKE PLAZA DR STE 220, COLORADO SPRINGS, CO 80906-3556
(719) 292-5051
(719) 306-0183
Mailing address
1235 LAKE PLAZA DR STE 220, COLORADO SPRINGS, CO 80906-3556
(719) 292-5051
(719) 306-0183
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91224560
—
CO
Enumeration date
03/25/2021
Last updated
12/05/2022
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