Organization
LITTLE BEAR & CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYCOLE S VANWHYE (EXECUTIVE DIRECTOR)
(970) 405-0582
Entity
Organization
Contact information
Practice address
4709 SPRINGER DR, FORT COLLINS, CO 80524-8926
(970) 405-0582
Mailing address
4709 SPRINGER DR, FORT COLLINS, CO 80524-8926
(970) 405-0582
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253J00000X
Foster Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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