Individual
JANICE SITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1882 E 104TH AVE UNIT 423, THORNTON, CO 80233-4324
(303) 358-4004
(866) 810-7263
Mailing address
PO BOX 330094, THORNTON, CO 80233-8094
(303) 358-4004
(866) 810-7263
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
81451253
CO
253Z00000X
In Home Supportive Care Agency
81451253
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81451253
—
CO
Enumeration date
09/28/2016
Last updated
05/23/2022
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