Organization
RESIDENTIAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEE (EXECUTIVE DIRECTOR)
(720) 434-1790
Entity
Organization
Contact information
Practice address
18590 E 19TH AVE UNIT 200, AURORA, CO 80011-5297
(720) 343-2350
Mailing address
18590 E 19TH AVE UNIT 200, AURORA, CO 80011-5297
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347E00000X
Transportation Broker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730628710
—
CO
Enumeration date
10/09/2020
Last updated
02/14/2022
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