Organization
DEVELOPMENTAL DISABILITIES CENTER
Active
Other names
Imagine
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN GREY (CFO)
(303) 641-6342
Entity
Organization
Contact information
Practice address
1400 DIXON ST, LAFAYETTE, CO 80026-2790
(303) 665-7789
(303) 665-2648
Mailing address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
(303) 665-7789
(303) 665-2648
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332H00000X
Eyewear Supplier
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09145780
—
CO
Enumeration date
01/30/2007
Last updated
11/05/2025
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