Organization
CARMEL COMMUNITY LIVING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ORDWAY MSC (CHIEF EXECUTIVE OFFICER)
(720) 660-1844
Entity
Organization
Contact information
Practice address
1300 S POTOMAC ST STE 126, AURORA, CO 80012-4526
(800) 804-4511
(720) 458-1665
Mailing address
451 21ST AVE STE B, LONGMONT, CO 80501-1483
(303) 444-0573
(720) 600-5176
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37728385
—
CO
Enumeration date
04/06/2007
Last updated
10/04/2021
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