Organization
BLUE PEAKS DEVELOPMENTAL SERVICES INC.
Active
Other names
Powell House
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA M KINSEY (FINANCE DIRECTOR)
(719) 589-5135
Entity
Organization
Contact information
Practice address
6477 S. 106.25 MAULOFF RD, ALAMOSA, CO 81101-8775
(719) 589-5135
(719) 589-0680
Mailing address
703 4TH ST, ALAMOSA, CO 81101-2524
(719) 589-5135
(719) 589-0680
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
05R242
CO
343900000X
Non-emergency Medical Transport (VAN)
05R242
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000134726
—
CO
Enumeration date
02/03/2017
Last updated
02/22/2017
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