Organization
MARION HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL REESE (EXECUTIVE DIRECTOR)
(719) 346-5664
Entity
Organization
Contact information
Practice address
567 18TH ST, BURLINGTON, CO 80807-1521
(719) 346-5398
(719) 346-6010
Mailing address
212 MARION ST, BURLINGTON, CO 80807-1339
(719) 346-5664
(719) 346-6010
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0033
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09141912
—
CO
Enumeration date
05/09/2007
Last updated
08/22/2020
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