Organization
TRUSTAR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHIDI SOYEBO (DIRECTOR)
(773) 707-0524
Entity
Organization
Contact information
Practice address
2701 W 84TH AVE STE 155, WESTMINSTER, CO 80031-3846
(773) 707-0524
Mailing address
2701 W 84TH AVE STE 155, WESTMINSTER, CO 80031-3846
(773) 707-0524
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
07/06/2023
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