Organization
WAECHTERFAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERYN WAECHTER (EXECUTIVE DIRECTOR)
(970) 568-6034
Entity
Organization
Contact information
Practice address
7799 WHITETAIL CIR, WELLINGTON, CO 80549-1576
(970) 568-6034
Mailing address
7799 WHITETAIL CIR, WELLINGTON, CO 80549-1576
(970) 568-6034
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
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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