Organization
INTEGRATED LIFE CHOICES OF COLORADO
Active
Other names
Integrated Life Choices of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SOLOMON (DIRECTOR OF FINANCE)
(402) 742-0311
Entity
Organization
Contact information
Practice address
240 ELIZABETH ST STE H2, ELIZABETH, CO 80107-7546
(303) 646-4402
(303) 646-4403
Mailing address
PO BOX 80728, LINCOLN, NE 68501-0728
(402) 742-0311
(402) 742-0312
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
36358851
CO
373H00000X
Day Training/Habilitation Specialist
36358851
CO
376J00000X
Homemaker
36358851
CO
Other
Enumeration date
04/06/2018
Last updated
04/12/2018
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