Organization
EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI SCHRADE (FINANCE DIRECTOR)
(970) 522-7121
Entity
Organization
Contact information
Practice address
808 VICKIE ST, FORT MORGAN, CO 80701-3730
(970) 522-7121
(970) 522-1173
Mailing address
PO BOX 1682, STERLING, CO 80751-1682
(970) 522-7121
(970) 522-1173
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
05O102
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14155079
—
CO
Enumeration date
11/04/2016
Last updated
01/26/2025
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