Organization
SHILOH HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RAMIREZ (CHIEF EXECUTIVE OFFICER)
(303) 932-9599
Entity
Organization
Contact information
Practice address
2700 E KEN PRATT BLVD, LONGMONT, CO 80504-5275
(303) 932-9599
Mailing address
6400 W COAL MINE AVE, LITTLETON, CO 80123-4501
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1539982
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40682871
—
CO
Enumeration date
04/11/2007
Last updated
10/25/2021
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