Organization
SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
Active
Parent organization
SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
Other names
Bella Vista Group Home, Las Animas County Rehabilitation Center, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
Authorized official
MR. DUANE ROY (EXECUTIVE DIRECTOR)
(719) 846-4409
Entity
Organization
Contact information
Practice address
309 E ELDER ST, WALSENBURG, CO 81089-1601
(719) 894-6454
Mailing address
1205 CONGRESS DR, TRINIDAD, CO 81082-1283
(719) 846-3391
(719) 846-4543
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0507X0
CO
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09140070
—
CO
05
—
09144247
—
CO
05
—
17125057
—
CO
Enumeration date
02/03/2017
Last updated
09/29/2025
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