Organization
DRAGONFLY SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS AVILA-HARDEE (EXECUTIVE DIRECTOR)
(303) 819-9133
Entity
Organization
Contact information
Practice address
2563 S COUNTY ROAD 193, BYERS, CO 80103-9409
(303) 819-9133
Mailing address
2563 S COUNTY ROAD 193, BYERS, CO 80103-9409
(303) 819-9133
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/16/2019
Last updated
09/08/2022
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