Organization
EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI SCHRADE (FINANCE DIRECTOR)
(970) 522-7121
Entity
Organization
Contact information
Practice address
701 E 2ND AVE, YUMA, CO 80759-2145
(970) 522-7121
Mailing address
PO BOX 1682, STERLING, CO 80751-1682
(970) 522-7121
(970) 522-1173
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46135073
—
CO
Enumeration date
11/08/2016
Last updated
01/26/2025
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