| Little Star Llc | |
|
1275 Silver Tip Ln Evergreen CO 80439-9704 | |
| (970) 214-7043 | |
| Not Available |
| Full Name | Little Star Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1275 Silver Tip Ln, Evergreen, Colorado |
| Authorized Official Name and Position | Ephraim Starr (MEMBER & CHIEF EXECUTIVE MANAGER) |
| Authorized Official Contact | 9702147043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Star Llc 1275 Silver Tip Ln Evergreen CO 80439-9704 Ph: (970) 214-7043 | Little Star Llc 1275 Silver Tip Ln Evergreen CO 80439-9704 Ph: (970) 214-7043 |
| NPI Number | 1700596608 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700596608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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