Organization
JEFFERSON HILLS CORPORATION
Active
Parent organization
JEFFERSON HILLS CORPORATION
Other names
Jefferson Hills Lakewood
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON HILLS CORPORATION
Authorized official
CHRISTINE ELLIS (CONTROLLER)
(303) 969-3822
Entity
Organization
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 989-4357
(303) 988-2017
Mailing address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 989-4357
(303) 988-2017
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
88459
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92138845
—
CO
Enumeration date
03/27/2007
Last updated
12/22/2014
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