Organization
COLORADO LIONS CAMP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRON NICKERSON (EXECUTIVE DIRECTOR)
(719) 687-2087
Entity
Organization
Contact information
Practice address
28541 HIGHWAY 67, WOOODAND PARK, CO 80863
(719) 687-2087
(719) 687-7435
Mailing address
PO BOX 9043, WOODLAND PARK, CO 80863-0240
(719) 687-2087
(719) 687-7435
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
R47606
CO
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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