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Suzette Butler
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pueblo, Colorado
NPI 1174102974

Suzette Butler is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pueblo, CO. Suzette Butler practices in Pueblo, CO. The NPI Number for Suzette Butler is 1174102974 and holds a License No. (Colorado).

The current practice location address for Suzette Butler is 311 W 24Th St Ste 2, Pueblo, CO and can be reached out via phone at 719-320-1729. You can also correspond with Suzette Butler through the mailing address at 311 W 24TH ST STE 2, PUEBLO, CO - 81003-2471 (mailing address contact number: 719-320-1729).

Location: 311 W 24Th St Ste 2, Pueblo, CO, 81003-2471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174102974
Provider Name
Suzette Butler
Credential
Provider Entity Type
Individual
Gender
Female
Address
311 W 24Th St Ste 2, Pueblo, CO, 81003-2471
Phone Number
719-320-1729
Fax Number
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
311 W 24Th St Ste 2
City
Pueblo
State
Colorado
Zip
81003-2471
Phone Number
719-320-1729
Fax Number
person
Provider Business Mailing Address Details
Address
311 W 24Th St Ste 2
City
Pueblo
State
Colorado
Zip
81003-2471
Phone Number
719-320-1729
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
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.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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