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Organization

CENTER FOR DISABILITIES

Active
Parent organization
CENTER FOR DISABILITIES
Other names
Center Home Health Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTER FOR DISABILITIES
Authorized official
MR. WILLIAM CLYDE EDWARDS TH.M. (EXECUTIVE DIRECTOR)
(719) 546-1271
Entity
Organization

Contact information

Practice address
901 WEST 8TH STREET, PUEBLO, CO 81003-2003
(719) 546-1271
(719) 546-1374
Mailing address
901 WEST 8TH STREET, PUEBLO, CO 81003-2003
(719) 546-1271
(719) 546-1374

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
251B00000X
Case Management Agency
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
01/23/2009
Last updated
02/06/2020
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