Organization
SPECTRUM OF LIGHT FAMILY SERVICES, LLC
Active
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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