Organization
SPECTRUM OF LIGHT FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA SPRONG MS (OWNER)
(719) 246-9880
Entity
Organization
Contact information
Practice address
645 ELDORADO BLVD APT 1231, BROOMFIELD, CO 80021-8835
(815) 326-8688
Mailing address
3181 E SPAULDING AVE APT 103, PUEBLO, CO 81008-2251
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/11/2019
Last updated
07/21/2021
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