Sparks Residential and Support Services, Inc
Sparks Residential and Support Services, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pueblo, Colorado. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
507 W Abriendo AvePueblo, CO 81004-1556
Phone: (719) 569-7962
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1053850297 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phyllis Sparks — President · (719) 583-0710 |
| NPI enumerated | February 21, 2017 |
| Last updated in NPPES | February 17, 2022 |
| Certification date | February 17, 2022 |
| Mailing address | 1762 27th Ln, Pueblo, CO 81006-9702 |
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