Organization
HUERFANO LAS ANIMAS AREA COUNCIL OF GOVERNMENTS
Active
Other names
South Central Council of Governments
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER BOULDEN (EXECUTIVE DIRECTOR)
(719) 845-1133
Entity
Organization
Contact information
Practice address
625 N POLK AVE, WALSENBURG, CO 81089-1549
(719) 738-2205
(719) 738-6898
Mailing address
625 N POLK AVE, WALSENBURG, CO 81089-1549
(719) 738-2205
(719) 738-6898
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19203314
—
CO
Enumeration date
08/13/2021
Last updated
08/13/2021
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