Organization
LPS LEGACY ENTERPRISES LLC
Active
Other names
A Place at Home
Organization subpart
No
Provider details
NPI number
Authorized official
BAMBI CREEK (OWNER)
(719) 671-2362
Entity
Organization
Contact information
Practice address
4023 CLUB MANOR DR, PUEBLO, CO 81008-2004
(719) 671-2362
Mailing address
4023 CLUB MANOR DR, PUEBLO, CO 81008-2004
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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