Organization
ALTRA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F DEIKE (PRESIDENT)
(970) 214-1343
Entity
Organization
Contact information
Practice address
2114 GLENWOOD CT, LOVELAND, CO 80538-3445
(970) 214-1343
(970) 667-8016
Mailing address
2114 GLENWOOD CT, LOVELAND, CO 80538-3445
(970) 214-1343
(970) 667-8016
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
27981274
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27981274
—
CO
Enumeration date
08/24/2015
Last updated
08/24/2015
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