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ENVISION CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI JEAN FLEMING (BILLING TECH)
(970) 313-2628
Entity
Organization

Contact information

Practice address
1050 37TH STREET, EVANS, CO 80620-0069
(970) 339-5360
(970) 330-2261
Mailing address
PO BOX 200069, EVANS, CO 80620-0069
(970) 339-5360
(970) 330-2261

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
385H00000X
Respite Care

Other

Enumeration date
01/30/2020
Last updated
04/08/2020
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