Organization
CARMEL COMMUNITY LIVING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ORDWAY MSC (CHIEF EXECUTIVE OFFICER)
(720) 660-1844
Entity
Organization
Contact information
Practice address
5540 N ACADEMY BLVD STE 150, COLORADO SPRINGS, CO 80918-3665
(720) 496-2605
(720) 458-1665
Mailing address
451 21ST AVE STE B, LONGMONT, CO 80501-1483
(303) 444-0573
(720) 600-5176
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
04B477
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14689588
—
CO
Enumeration date
04/06/2007
Last updated
12/30/2021
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