Organization
JAYWALKER LODGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI WINSLOW (DIRECTOR OF INSURANCE)
(970) 704-9292
Entity
Organization
Contact information
Practice address
850 MAIN CT, CARBONDALE, CO 81623-1852
(970) 704-9292
(970) 704-9092
Mailing address
PO BOX 969, CARBONDALE, CO 81623-0969
(970) 704-9292
(970) 704-9092
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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