Organization
SPECIAL OUTINGS, ACTIVITIES, AND RECREATIONS LLC
Active
Other names
SOAR
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY STARR JACKSON-CLOCKSTON (CO-OWNER/ ACTIVITIES DIRECTOR)
(720) 329-2796
Entity
Organization
Contact information
Practice address
9465 W HINSDALE PL, LITTLETON, CO 80128-4168
(720) 329-2796
Mailing address
9465 W HINSDALE PL, LITTLETON, CO 80128-4168
(720) 329-2796
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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