Organization
MOONLITE, LLC
Active
Other names
FirstLight Home Care Pueblo
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN MARTINSON (OWNER)
(970) 209-5608
Entity
Organization
Contact information
Practice address
2099 W US HIGHWAY 50 STE 110, PUEBLO, CO 81008-1677
(719) 569-7685
(719) 582-1659
Mailing address
2531 COLUMBINE LN, MONTROSE, CO 81401-5650
(970) 209-5608
(970) 249-7163
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04V769
CO
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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