Organization
COMMUNITY ADVANTAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY A PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
2612 52ND AVENUE CT, GREELEY, CO 80634-4001
(970) 330-4909
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
CO
343900000X
Non-emergency Medical Transport (VAN)
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09146671
—
CO
Enumeration date
05/10/2007
Last updated
11/03/2016
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