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Organization

KOTILLO BLESSING CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MACHANDOQUE KOTILO (OWNER)
(720) 327-8315
Entity
Organization

Contact information

Practice address
4318 CEYLON CT, DENVER, CO 80249-6540
(720) 327-8315
Mailing address
4318 CEYLON CT, DENVER, CO 80249-6540
(720) 327-8315

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/11/2023
Last updated
01/11/2023
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