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Crescent Home Adult Care Facility,inc
Mental Illness Community Based Residential Treatment Facility in Colorado Springs, Colorado
NPI 1336283985

Crescent Home Adult Care Facility,inc is a Mental Illness Community Based Residential Treatment Facility based in Colorado Springs, CO. Crescent Home Adult Care Facility,inc practices in Colorado Springs, CO. The NPI Number for Crescent Home Adult Care Facility,inc is 1336283985 and holds a License No. AL-0984 (Colorado).

The current practice location address for Crescent Home Adult Care Facility,inc is 812 W Colorado Ave, Colorado Springs, CO and can be reached out via phone at 719-634-2237 and via fax at 719-634-2471.

Location: 812 W Colorado Ave, Colorado Springs, CO, 80905-1516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336283985
Provider Name
Crescent Home Adult Care Facility,inc
Credential
Provider Entity Type
Organization
Address
812 W Colorado Ave, Colorado Springs, CO, 80905-1516
Phone Number
719-634-2237
Fax Number
719-634-2471
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
66422540 05 CO
institution
Provider Business Practice Location Address Details
Address
812 W Colorado Ave
City
Colorado Springs
State
Colorado
Zip
80905-1516
Phone Number
719-634-2237
Fax Number
719-634-2471
person
Provider Business Mailing Address Details
Address
812 W Colorado Ave
City
Colorado Springs
State
Colorado
Zip
80905-1516
Phone Number
719-634-2237
Fax Number
719-634-2471
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
AL-0984 (Colorado)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
AL-0984 (Colorado)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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