Sample Supports | |
1528 N Lincoln Ave Unit 2 Loveland CO 80538-3849 | |
(720) 684-6102 | |
Not Available |
Full Name | Sample Supports |
---|---|
Speciality | Community/behavioral Health |
Location | 1528 N Lincoln Ave, Loveland, Colorado |
Authorized Official Name and Position | Carmen Sample (CEO) |
Authorized Official Contact | 7206846102 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sample Supports 1528 N Lincoln Ave Unit 2 Loveland CO 80538-3849 Ph: () - | Sample Supports 1528 N Lincoln Ave Unit 2 Loveland CO 80538-3849 Ph: (720) 684-6102 |
NPI Number | 1447618475 |
---|---|
Provider Enumeration Date | 02/04/2016 |
Last Update Date | 02/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447618475 | NPI | - | NPPES |
40078256 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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