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Organization

ELEOS SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER WITTENAUER (DIRECTOR)
(970) 988-1689
Entity
Organization

Contact information

Practice address
4319 PEARLGATE CT, FORT COLLINS, CO 80526-3341
(970) 825-5805
(970) 797-2757
Mailing address
4319 PEARLGATE CT, FORT COLLINS, CO 80526-3341
(970) 825-5805
(970) 797-2757

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
376J00000X
Homemaker
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
09/01/2016
Last updated
01/10/2018
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