Organization
NICK'S HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ROUSSOS (DIRECTOR)
(970) 278-9079
Entity
Organization
Contact information
Practice address
2980 SANFORD CIR, LOVELAND, CO 80538-4924
(970) 278-9079
Mailing address
2980 SANFORD CIR, LOVELAND, CO 80538-4924
(970) 278-9079
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
72023881
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72023881
—
CO
Enumeration date
10/17/2016
Last updated
10/17/2016
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