Organization
EDENTREE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA STANFORD (CO-OWNER)
(719) 761-2289
Entity
Organization
Contact information
Practice address
19265 LINCOLN GREEN LN, MONUMENT, CO 80132-8739
(719) 761-2289
Mailing address
19265 LINCOLN GREEN LN, MONUMENT, CO 80132-8739
(719) 761-2289
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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