Organization
JAYWALKER LODGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI A WINSLOW (DIRECTOR OF INSURANCE)
(970) 704-9292
Entity
Organization
Contact information
Practice address
811 MAIN CT, CARBONDALE, CO 81623-1851
(970) 704-9292
Mailing address
PO BOX 969, CARBONDALE, CO 81623-0969
(970) 704-9292
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1548-01
CO
Other
Enumeration date
03/27/2012
Last updated
03/10/2025
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