Organization
CHEYENNE VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY L. DICE (CFO)
(719) 572-7447
Entity
Organization
Contact information
Practice address
6275 LEHMAN DR, COLORADO SPRINGS, CO 80918-1433
(719) 592-0200
Mailing address
6275 LEHMAN DR, COLORADO SPRINGS, CO 80918-1433
(719) 592-0200
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
CO
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
CO
Other
Enumeration date
03/05/2007
Last updated
07/21/2022
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