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Sandra Douglas
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greeley, Colorado
NPI 1457875999

Sandra Douglas is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greeley, CO. Sandra Douglas practices in Greeley, CO. The NPI Number for Sandra Douglas is 1457875999 and holds a License No. (Colorado).

The current practice location address for Sandra Douglas is 3109 66Th Ave, Greeley, CO and can be reached out via phone at 314-413-0043.

Location: 3109 66Th Ave, Greeley, CO, 80634-8932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457875999
Provider Name
Sandra Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
3109 66Th Ave, Greeley, CO, 80634-8932
Phone Number
314-413-0043
Fax Number
Provider Enumeration Date
07/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3109 66Th Ave
City
Greeley
State
Colorado
Zip
80634-8932
Phone Number
314-413-0043
Fax Number
person
Provider Business Mailing Address Details
Address
3109 66Th Ave
City
Greeley
State
Colorado
Zip
80634-8932
Phone Number
314-413-0043
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.
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