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Organization
REJUVENATE RECOVER RECREATE, LLC
Active
Organization
REJUVENATE RECOVER RECREATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANN DOUGLASS (OWNER)
(719) 663-6422
Entity
Organization
Contact information
Practice address
2400 10TH AVE, GREELEY, CO 80631-6914
(719) 663-4622
Mailing address
2400 10TH AVE, GREELEY, CO 80631-6914
(719) 663-4622
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251E00000X
Home Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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