| NPI | 1386196665 |
|---|---|
| Doing Business As | LIMON CORRECTIONAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD OTTEM Dentist 719-775-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CO DEN.00104436) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |