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Mrs. Leslie Pottebaum
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arvada, Colorado
NPI 1134642952

Leslie Pottebaum is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Arvada, CO. Leslie Pottebaum practices in Arvada, CO. The NPI Number for Leslie Pottebaum is 1134642952 and holds a License No. (Colorado).

The current practice location address for Leslie Pottebaum is 16155 W 74Th Dr, Arvada, CO and can be reached out via phone at 303-912-1111. You can also correspond with Leslie Pottebaum through the mailing address at 16155 W 74TH DR, ARVADA, CO - 80007-7828 (mailing address contact number: 303-912-1111).

Location: 16155 W 74Th Dr, Arvada, CO, 80007-7828
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Provider Profile Details
NPI Number
1134642952
Provider Name
Leslie Pottebaum
Credential
Provider Entity Type
Individual
Gender
Female
Address
16155 W 74Th Dr, Arvada, CO, 80007-7828
Phone Number
303-912-1111
Fax Number
Provider Enumeration Date
07/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16155 W 74Th Dr
City
State
Zip
80007-7828
Phone Number
303-912-1111
Fax Number
person
Provider Business Mailing Address Details
Address
16155 W 74Th Dr
City
State
Zip
80007-7828
Phone Number
303-912-1111
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.
(Colorado)
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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