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Organization
BLUE PEAKS DEVELOPMENTAL SERVICES INC.
Active
Organization
BLUE PEAKS DEVELOPMENTAL SERVICES INC.
Active
Other names
Bara House
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA M KINSEY (FINANCE DIRECTOR)
(719) 589-5135
Entity
Organization
Contact information
Practice address
9205 STANLEY RD, ALAMOSA, CO 81101-9785
(719) 589-5135
(719) 589-0680
Mailing address
703 4TH ST, ALAMOSA, CO 81101-2524
(719) 589-5135
(719) 589-0680
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
05R351
CO
343900000X
Non-emergency Medical Transport (VAN)
05R351
CO
Other
Enumeration date
02/02/2017
Last updated
02/22/2017
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