Organization
ABLELIGHT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MINNING (DIRECTOR OF TREASURY)
(920) 206-4459
Entity
Organization
Contact information
Practice address
7780 S HIGH ST, CENTENNIAL, CO 80122-3122
(303) 798-2114
Mailing address
600 HOFFMANN DR, WATERTOWN, WI 53094-6223
(920) 261-3050
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
06/09/2022
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