Organization
ALLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK L DAVOLL III (PROGRAM DIRECTOR)
(303) 946-3197
Entity
Organization
Contact information
Practice address
3000 S JAMAICA CT STE 200, AURORA, CO 80014-4601
(303) 750-5007
(303) 750-5009
Mailing address
3000 S JAMAICA CT STE 200, AURORA, CO 80014-4601
(303) 750-5007
(303) 750-5009
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01637231
—
CO
Enumeration date
02/09/2017
Last updated
02/09/2017
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