Organization
ABNEZER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYERUSALEM MENGESHA (DIRECTOR)
(303) 668-1397
Entity
Organization
Contact information
Practice address
5294 PERTH CT, DENVER, CO 80249-8368
(303) 668-1397
Mailing address
5294 PERTH CT, DENVER, CO 80249-8368
(303) 668-1397
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
02/03/2020
Last updated
02/03/2020
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