institution
Eastern Colorado Services For The Developmentally Disabled, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Morgan, Colorado
NPI 1679015812

Eastern Colorado Services For The Developmentally Disabled, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sterling, CO. Eastern Colorado Services For The Developmentally Disabled, Inc. practices in Fort Morgan, CO. The NPI Number for Eastern Colorado Services For The Developmentally Disabled, Inc. is 1679015812 and holds a License No. 05O102 (Colorado).

The current practice location address for Eastern Colorado Services For The Developmentally Disabled, Inc. is 808 Vickie St, Fort Morgan, CO and can be reached out via phone at 970-522-7121 and via fax at 970-522-1173. You can also correspond with Eastern Colorado Services For The Developmentally Disabled, Inc. through the mailing address at PO BOX 1682, STERLING, CO - 80751-1682 (mailing address contact number: 970-522-7121).

Location: 808 Vickie St, Fort Morgan, CO, 80751-1682
institution
Provider Profile Details
NPI Number
1679015812
Provider Name
Eastern Colorado Services For The Developmentally Disabled, Inc.
Credential
Provider Entity Type
Organization
Address
808 Vickie St, Fort Morgan, CO, 80751-1682
Phone Number
970-522-7121
Fax Number
970-522-1173
Provider Enumeration Date
11/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26623 05 CO
14155079 05 CO
09145855 05 CO
institution
Provider Business Practice Location Address Details
Address
808 Vickie St
City
State
Zip
80701-3730
Phone Number
970-522-7121
Fax Number
970-522-1173
person
Provider Business Mailing Address Details
Address
808 Vickie St
City
State
Zip
80701-3730
Phone Number
970-522-7121
Fax Number
970-522-1173
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.
05O102 (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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