Healthcare Provider Details

I. General information

NPI: 1588029334
Provider Name (Legal Business Name): DESERT SPRINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 BARNWOOD DR
FORT COLLINS CO
80525-2069
US

IV. Provider business mailing address

1631 BARNWOOD DR
FORT COLLINS CO
80525-2069
US

V. Phone/Fax

Practice location:
  • Phone: 970-712-3190
  • Fax:
Mailing address:
  • Phone: 970-712-3190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MELANIE STEFFEN
Title or Position: DIRECTOR
Credential:
Phone: 970-712-3190