Individual
MS. ROSA L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 S EVANSTON ST, AURORA, CO 80012-4733
(720) 979-6040
(720) 324-4923
Mailing address
1423 S EVANSTON ST, AURORA, CO 80012-4733
(720) 979-6040
(720) 324-4923
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
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/15/2019
Last updated
01/18/2020
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