Organization
MESA DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S NICHOLS (CEO/ADMINISTRATOR)
(970) 256-8601
Entity
Organization
Contact information
Practice address
950 GRAND AVE, GRAND JUNCTION, CO 81501-3451
(970) 243-3702
(970) 243-7751
Mailing address
950 GRAND AVE, GRAND JUNCTION, CO 81501-3451
(970) 243-3702
(970) 243-7751
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04G510
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NEW
NEW
—
Enumeration date
05/15/2012
Last updated
10/25/2012
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