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Organization

COMMUNITY ADVANTAGE, INC

Active
Other names
EMPIRE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization

Contact information

Practice address
1551 S SUNSET ST, LONGMONT, CO 80501-6758
(800) 866-0860
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CO
343900000X
Non-emergency Medical Transport (VAN)
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09147414
CO
Enumeration date
05/10/2007
Last updated
08/18/2008
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