Organization
PROSPER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSION HUNDIE (DIRECTOR)
(972) 352-7128
Entity
Organization
Contact information
Practice address
19319 E 39TH PL, DENVER, CO 80249-7356
(972) 352-7128
Mailing address
19319 E 39TH PL, DENVER, CO 80249-7356
(972) 352-7128
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
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/22/2019
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