Lantam, Grace

Lantam, Grace is an sole proprietor health care provider with primary practice located at 12241 Crystal Downs Rd , Peyton CO 80831-4042. She recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is her primary health care specialty. Lantam, Grace can be contacted via phone (720) 329-6429.

Contact Information

Primary practice address
12241 Crystal Downs Rd Peyton CO 80831-4042
Phone: (720) 329-6429
Fax: (720) 329-6429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1013369859
LBN Legal business name Lantam, Grace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2016
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013369859 NPPES
Colorado MEDICAID 812697217
Colorado Other 812697217

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