Organization
CENTENNIAL BOCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY JOYCE PEREZ (MEDICAID COORDINATOR)
(970) 352-7404
Entity
Organization
Contact information
Practice address
2020 CLUBHOUSE DRIVE, SUITE 230, GREELEY, CO 80634
(970) 352-7404
(970) 352-7350
Mailing address
2020 CLUBHOUSE DRIVE, SUITE 230, GREELEY, CO 80634
(970) 352-7404
(970) 352-7350
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93427867
—
CO
Enumeration date
11/21/2006
Last updated
08/22/2020
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