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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

NPI: 1174102974Individual

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Non-emergency Medical Transport (VAN)

Non-emergency Medical Transport (VAN)

Code: 343900000X

Private Vehicle

Private Vehicle

Code: 347C00000X

Respite Care

Respite Care

Code: 385H00000X

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

Contact & Hours

Address
311 W 24TH ST STE 2
PUEBLO, CO 81003

Quick Facts

NPI
1174102974
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
5
Locations
1

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