Organization
ACCESS AND ABILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENDA K WARNE (EXECUTIVE DIRECTOR)
(970) 545-1344
Entity
Organization
Contact information
Practice address
510 12TH STREET, GILCREST, CO 80623-0305
(970) 545-1344
(970) 737-0517
Mailing address
PO BOX 305, 510 12TH STREET, GILCREST, CO 80623-0305
(970) 545-1344
(970) 737-0517
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21532826
—
CO
Enumeration date
05/30/2007
Last updated
08/22/2020
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