Organization
FOOTHILLS GATEWAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA CONRARDY (FINANCE DIRECTOR)
(970) 266-5444
Entity
Organization
Contact information
Practice address
301 SKYWAY DR, FORT COLLINS, CO 80525-3911
(970) 226-2345
Mailing address
301 SKYWAY DR, FORT COLLINS, CO 80525-3911
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04-375858
—
CO
Enumeration date
12/06/2010
Last updated
01/22/2020
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