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Organization
CIRCLES OF LOVE BIBLE CHURCH
Active
Organization
CIRCLES OF LOVE BIBLE CHURCH
Active
Other names
United Providers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAN GANT MBA (CEO)
(719) 291-0296
Entity
Organization
Contact information
Practice address
6197 LEHMAN DR, COLORADO SPRINGS, CO 80918-3437
(719) 291-0296
Mailing address
PO BOX 1818, COLORADO SPRINGS, CO 80901-1818
(719) 291-0296
(844) 272-3465
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
347C00000X
Private Vehicle
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
CO
Other
Enumeration date
05/05/2016
Last updated
08/16/2019
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