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Organization
MOUNTAIN FREEDOM CARE LLC
Active
Organization
MOUNTAIN FREEDOM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANA LOUISE CAIRO PA-C (OWNER)
(443) 812-6652
Entity
Organization
Contact information
Practice address
4265 WHITNEY PL, BOULDER, CO 80305-6710
(443) 812-6652
Mailing address
4265 WHITNEY PL, BOULDER, CO 80305-6710
(443) 812-6652
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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