Organization
ANIMAS EQUITY, INC
Active
Other names
The Valley Inn
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE HUMISTON-BERGER (ADMINISTRATOR)
(970) 533-9031
Entity
Organization
Contact information
Practice address
211 E 3RD AVE, MANCOS, CO 81328-9079
(970) 533-9031
Mailing address
211 E 3RD AVE, MANCOS, CO 81328-9079
(970) 533-9031
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
0158
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181814
—
CO
Enumeration date
01/02/2007
Last updated
08/22/2020
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