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Individual Canvas Llc
Transportation Broker in Pueblo, Colorado
NPI 1245938257

Individual Canvas Llc is a Transportation Broker based in Pueblo, CO. Individual Canvas Llc practices in Pueblo, CO. The NPI Number for Individual Canvas Llc is 1245938257 and holds a License No. (Colorado).

The current practice location address for Individual Canvas Llc is 46 Regency Blvd Apt I, Pueblo, CO and can be reached out via phone at 719-334-3123.

Location: 46 Regency Blvd Apt I, Pueblo, CO, 81005-1831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245938257
Provider Name
Individual Canvas Llc
Credential
Provider Entity Type
Organization
Address
46 Regency Blvd Apt I, Pueblo, CO, 81005-1831
Phone Number
719-334-3123
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
46 Regency Blvd Apt I
City
Pueblo
State
Colorado
Zip
81005-1831
Phone Number
719-334-3123
Fax Number
person
Provider Business Mailing Address Details
Address
46 Regency Blvd Apt I
City
Pueblo
State
Colorado
Zip
81005-1831
Phone Number
719-334-3123
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
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 2
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
()
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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