Organization
SOUTHWEST CENTER FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MASON (EXECUTIVE DIRECTOR)
(970) 259-1672
Entity
Organization
Contact information
Practice address
3473 MAIN AVE, SUITE 23, DURANGO, CO 81301-4010
(970) 259-1672
Mailing address
3473 MAIN AVE, SUITE 23, DURANGO, CO 81301-4010
(970) 259-1672
(970) 259-0947
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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