Individual
SUE D COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HAROLD CT, LOVELAND, CO 80537-9758
(303) 599-2669
Mailing address
301 HAROLD CT, LOVELAND, CO 80537-9758
(303) 599-2669
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10V294
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000142052
—
CO
Enumeration date
06/23/2023
Last updated
06/23/2023
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