NPI 1013534015
Ithrive Support Services 'LLC'
Practice location
- Address
- 17381 E 95th Ave, Commerce City, CO 80022-7223
- Phone
- (732) 895-1130
Authorised official
- Name
- Grace Nayo
- Title
- Director
- Phone
- (732) 895-1130
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Registry record
- NPI
- 1013534015
- Entity type
- Organization
- NPI issued
- 25 Jun 2020
- Record last updated
- 17 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.