Organization
FOOTHILLS GATEWAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA CONRARDY (FINANCE DIRECTOR)
(970) 266-5444
Entity
Organization
Contact information
Practice address
400 WOOD ST, FORT COLLINS, CO 80521-1951
(970) 266-5443
Mailing address
301 SKYWAY DR, FORT COLLINS, CO 80525-3911
(970) 266-5311
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/11/2020
Last updated
02/02/2021
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