Organization
5 GOLD STAR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL WAYNE ALEXANDER JR. (OWNER)
(719) 419-7977
Entity
Organization
Contact information
Practice address
211 E COSTILLA ST, COLORADO SPRINGS, CO 80903-2103
(719) 419-7977
(719) 419-7988
Mailing address
2020 N ACADEMY BLVD STE 348, COLORADO SPRINGS, CO 80909-1567
(719) 419-7977
(719) 419-7988
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/12/2022
Last updated
09/21/2023
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