Organization
H.O.P.E ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY LEE BACA (DIRECTOR/ OWNER)
(719) 242-3419
Entity
Organization
Contact information
Practice address
112 AVONDALE BLVD., AVONDALE, CO 81022-0306
(719) 242-3419
Mailing address
PO BOX 306, 112 AVONDALE BLVD., AVONDALE, CO 81022-0306
(719) 242-3419
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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