# CARMEL COMMUNITY LIVING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Overture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780197228
- **Authorized official:** JENNIFER ORDWAY MSC (CHIEF DEVELOPMENT OFFICER)
- **Authorized official phone:** (720) 660-1844

## Contact information

- **Practice address:** 2003 NORTHMOOR TER STE 100, PUEBLO, CO 81008-1505
- **Practice address phone:** (720) 496-2605
- **Practice address fax:** (720) 458-1665
- **Mailing address:** 2003 NORTHMOOR TER STE 100, PUEBLO, CO 81008-1505
- **Mailing address phone:** (720) 496-2605
- **Mailing address fax:** (720) 458-1665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2017
- **Last updated:** 11/07/2017