Organization
MOUNTAIN COMMUNITY PATHWAYS
Active
Other names
Mountain Community Pathways, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOAN LOUISE WILSON (CO-DIRECTOR)
(720) 583-0440
Entity
Organization
Contact information
Practice address
5120 HIGHWAY 73, EVERGREEN, CO 80439-7301
(720) 583-0440
(720) 479-8439
Mailing address
28628 BUFFALO PARK RD, EVERGREEN, CO 80439-7319
(720) 583-0440
(720) 479-8439
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
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
CO
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
376J00000X
Homemaker
—
CO
385H00000X
Respite Care
—
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02938375
—
CO
Enumeration date
06/03/2016
Last updated
02/08/2022
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