Organization
GRAND POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA SPURLIN OTR/L (OTR/L)
(303) 590-8611
Entity
Organization
Contact information
Practice address
66 LYONS HOMESTEAD DR, GRAND LAKE, CO 80447-8044
(303) 590-8611
Mailing address
PO BOX 677, GRANBY, CO 80446-0677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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