Organization
COMMUNITY CHOICE RESOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LUCERO (OWNER/OPERATOR)
(303) 963-6960
Entity
Organization
Contact information
Practice address
9915 W WAGON TRAIL DR, DENVER, CO 80123-1955
(303) 963-6960
Mailing address
9915 W WAGON TRAIL DR, DENVER, CO 80123-1955
(303) 963-6960
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/21/2016
Last updated
02/06/2017
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