Organization
PARKER PERSONAL CARE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI WALTERS (EXECUTIVE DIRECTOR)
(303) 424-6078
Entity
Organization
Contact information
Practice address
1597 COLE BLVD, SUITE 250, LAKEWOOD, CO 80401-3414
(303) 424-6078
(303) 424-6194
Mailing address
1597 COLE BLVD, SUITE 250, LAKEWOOD, CO 80401-3414
(303) 424-6078
(303) 424-6194
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
CO
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97633241
—
CO
Enumeration date
05/02/2016
Last updated
03/07/2017
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