institution
Southern Colorado Developmental Disabilities Services, Inc
NPI 1053859611

Southern Colorado Developmental Disabilities Services, Inc is a Bus based in Trinidad, CO. Southern Colorado Developmental Disabilities Services, Inc practices in Walsenburg, CO. The NPI Number for Southern Colorado Developmental Disabilities Services, Inc is 1053859611 and holds a License No. 0507X0 (Colorado).

The current practice location address for Southern Colorado Developmental Disabilities Services, Inc is 309 E Elder St, Walsenburg, CO and can be reached out via phone at 719-894-6454.

Location: 309 E Elder St, Walsenburg, CO, 81082-1283
institution
Provider Profile Details
NPI Number
1053859611
Provider Name
Southern Colorado Developmental Disabilities Services, Inc
Credential
Provider Entity Type
Organization
Address
309 E Elder St, Walsenburg, CO, 81082-1283
Phone Number
719-894-6454
Fax Number
Provider Enumeration Date
02/03/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09144247 05 CO
09140070 05 CO
institution
Provider Business Practice Location Address Details
Address
309 E Elder St
City
State
Zip
81089-1601
Phone Number
719-894-6454
Fax Number
person
Provider Business Mailing Address Details
Address
309 E Elder St
City
State
Zip
81089-1601
Phone Number
719-894-6454
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Bus
Speciality
-
Taxonomy
License No.
0507X0 (Colorado)
Definition
A public or private organization or business licensed to provide bus services.
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