Organization
STEFANIES VILLAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL-ANN DEMAIO MULLIN (EXECUTIVE DIRECTOR)
(303) 763-5679
Entity
Organization
Contact information
Practice address
240 MAGNOLIA ST, DENVER, CO 80220-6010
(303) 763-5679
Mailing address
240 MAGNOLIA ST, DENVER, CO 80220-6010
(303) 763-5679
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22402853
—
CO
Enumeration date
01/17/2017
Last updated
01/17/2017
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