Organization · Type 2 NPI

Moonlite, LLC

Home Health Agency · Pueblo, CO

NPI number 1104207760 Active

Practice location

805 Eagleridge Blvd Ste 120
Pueblo, CO 81008-2354

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1104207760

Moonlite, LLC's National Provider Identifier is 1104207760, issued on Jun 9, 2015. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Pueblo, CO. The record was last updated on Jan 22, 2025.