Organization
PORTER ADVENTIST HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI A BODE LPC (PSYCHOTHERAPIST)
(303) 229-6692
Entity
Organization
Contact information
Practice address
851 SLEEPY HOLLOW DR, BAILEY, CO 80421-2068
(303) 229-6692
Mailing address
851 SLEEPY HOLLOW DR, BAILEY, CO 80421-2068
(303) 229-6692
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
9706
CO
Other
Enumeration date
06/18/2008
Last updated
02/15/2012
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