Organization
ENVISION CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI JEAN FLEMING (BILLING TECH)
(970) 313-2628
Entity
Organization
Contact information
Practice address
1050 37TH ST, EVANS, CO 80620-2115
(970) 313-2628
Mailing address
PO BOX 200069, EVANS, CO 80620-0069
(970) 313-2628
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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