Organization
SUN KISSED MOMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICKOLE MARIE BEHRENDS (EXECUTIVE DIRECTOR)
(641) 680-3087
Entity
Organization
Contact information
Practice address
325 E 1ST ST LOT 411, AULT, CO 80610-9667
(641) 680-3087
(970) 834-1143
Mailing address
325 E 1ST ST LOT 411, AULT, CO 80610-9667
(641) 680-3087
(970) 834-1143
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
29924871
CO
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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