Organization
ANDYS HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE MARIE NEELY NP (CLINICAL DIRECTOR)
(281) 217-8610
Entity
Organization
Contact information
Practice address
7811 POTOMAC DR, COLORADO SPRINGS, CO 80920-7072
(713) 397-0809
Mailing address
7811 POTOMAC DR, COLORADO SPRINGS, CO 80920-7072
(713) 397-0809
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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