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Organization

ENVISION-CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CELESTE EWERT (EXECUTIVE DIRECTOR)
(970) 339-5360
Entity
Organization

Contact information

Practice address
1050 37TH ST, EVANS, CO 80620-2115
(970) 339-5360
(970) 330-2261
Mailing address
PO BOX 200069, EVANS, CO 80620-0069
(970) 339-5360
(970) 330-2261

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09139676
CO
05
09145764
CO
05
50057367
CO
Enumeration date
11/20/2006
Last updated
04/08/2020
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