Organization
INTERACTION RESOURCE D.D.D. C
Active
Other names
Carol Coffey
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A COFFEY (OWNER)
(720) 291-3332
Entity
Organization
Contact information
Practice address
3636 S INDEPENDENCE ST, LAKEWOOD, CO 80235-1205
(720) 291-3332
Mailing address
1639 LAWRENCE 2140, SARCOXIE, MO 64862-8238
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000142186
—
CO
Enumeration date
06/13/2021
Last updated
06/13/2021
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