Organization
EAGLESNEST GROUP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE VIRGINIA KENNEDY (ADMINISTRATOT)
(303) 838-2468
Entity
Organization
Contact information
Practice address
1149 DICK MOUNTAIN DR, BAILEY, CO 80421-2097
(303) 838-2468
(303) 838-2478
Mailing address
1149 DICK MOUNTAIN DR, BAILEY, CO 80421-2097
(303) 838-2468
(303) 838-2478
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
1544800
CO
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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