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Jordan Residential & Vocational Services Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pueblo, Colorado
NPI 1124757745

Jordan Residential & Vocational Services Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pueblo, CO. Jordan Residential & Vocational Services Inc. practices in Pueblo, CO. The NPI Number for Jordan Residential & Vocational Services Inc. is 1124757745 and holds a License No. (Colorado).

The current practice location address for Jordan Residential & Vocational Services Inc. is 2928 Withers Ave, Pueblo, CO and can be reached out via phone at 719-543-8178 and via fax at 719-545-8583.

Location: 2928 Withers Ave, Pueblo, CO, 81008-8477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124757745
Provider Name
Jordan Residential & Vocational Services Inc.
Credential
Provider Entity Type
Organization
Address
2928 Withers Ave, Pueblo, CO, 81008-8477
Phone Number
719-543-8178
Fax Number
719-545-8583
Provider Enumeration Date
06/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2928 Withers Ave
City
Pueblo
State
Colorado
Zip
81008-1248
Phone Number
719-543-8178
Fax Number
719-545-8583
person
Provider Business Mailing Address Details
Address
2928 Withers Ave
City
Pueblo
State
Colorado
Zip
81008-1248
Phone Number
719-543-8178
Fax Number
719-545-8583
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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