Organization
INSPIRATION FIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA M SALO (CHIEF FINANCIAL OFFICER)
(719) 384-8741
Entity
Organization
Contact information
Practice address
612 ADAMS AVE, LA JUNTA, CO 81050-2535
(719) 384-8741
(719) 384-4278
Mailing address
612 ADAMS AVE, LA JUNTA, CO 81050-2535
(719) 384-8741
(719) 384-4278
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09140054
—
CO
05
—
09145871
—
CO
05
—
09147653
—
CO
Enumeration date
03/29/2007
Last updated
10/26/2016
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