Individual
MELANIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 RANCHETTES RD, BAILEY, CO 80421-2051
(303) 875-3238
Mailing address
93 RANCHETTES RD, BAILEY, CO 80421-2051
(303) 875-3238
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
CO
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84700238
—
CO
Enumeration date
04/21/2017
Last updated
03/24/2023
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