Organization
INTEGRATED LIFE CHOICES
Active
Other names
Integrated Life Choices of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SOLOMON (DIRECTOR OF FINANCE)
(402) 742-0311
Entity
Organization
Contact information
Practice address
7800 S ELATI ST, LITTLETON, CO 80120-4483
(303) 484-8990
(303) 484-8676
Mailing address
PO BOX 80728, LINCOLN, NE 68501-0728
(402) 742-0311
(402) 742-0312
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
36358851
CO
261QD1600X
Developmental Disabilities Clinic/Center
36358851
CO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
36358851
CO
373H00000X
Day Training/Habilitation Specialist
36358851
CO
376J00000X
Homemaker
36358851
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
36358851
CO
Other
Enumeration date
04/06/2018
Last updated
10/29/2018
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