Organization
CABOOSE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WOOD (OWNER)
(970) 227-7669
Entity
Organization
Contact information
Practice address
2013 LILY DR, LOVELAND, CO 80537-3333
(970) 227-7669
Mailing address
455 E WATERSIDE DR UNIT 1412, CHICAGO, IL 60601-0017
(970) 227-7669
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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